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1154354058
ELLEN AUDRA NICOLA
HIGH POINT, NC
NPI
1154354058
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: NC 1988)
Enumeration Date
2006-07-07
Last Update Date
2024-10-25
Business Address
ELLEN AUDRA NICOLA
1208 EASTCHESTER DR SUITE 200
HIGH POINT, NC 27265-3170
Phone number: 336-802-2536
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Mailing Address
ELLEN AUDRA NICOLA
100 KIMEL FOREST DR.
WINSTON SALEM, NC 27103-6074
Phone number: 336-716-1331
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