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1134625932
NIKKOLE WEISS
SHREVEPORT, LA
NPI
1134625932
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C011085)
Enumeration Date
2018-04-02
Last Update Date
2023-09-20
Business Address
NIKKOLE WEISS
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-990-5012
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Mailing Address
NIKKOLE WEISS
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number:
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