Individual
NICOLE CASSIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 CHAPEL AVE W, CHERRY HILL, NJ 08002-2048
(856) 488-6542
Mailing address
901 S BROAD ST, PHILADELPHIA, PA 19147-3601
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00194900
NJ
Other
Enumeration date
03/05/2014
Last updated
04/25/2023
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