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Individual

MRS. ELISE NICKLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
6704 WOODWAY DR, WOODWAY, TX 76712-6145
(512) 879-7942
Mailing address
6704 WOODWAY DR, WOODWAY, TX 76712-6145
(512) 879-7942

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
110418
TX

Other

Enumeration date
09/09/2025
Last updated
09/09/2025
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