Individual
MRS. NICOLE LICAIRAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, MPH
Contact information
Practice address
16251 SW 109TH AVE, MIAMI, FL 33157-2811
(305) 319-2119
Mailing address
16251 SW 109TH AVE, MIAMI, FL 33157-2811
(305) 319-2119
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
374J00000X
Doula
Primary
—
FL
Other
Enumeration date
03/26/2025
Last updated
04/11/2026
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