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1245909365
KELLY LYNN NICOLAUS
TAMPA, FL
NPI
1245909365
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL 17352)
Enumeration Date
2021-09-10
Last Update Date
2024-02-04
Business Address
KELLY LYNN NICOLAUS LCSW
4520 OAK FAIR BLVD
TAMPA, FL 33610-7356
Phone number: 813-532-5500
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Mailing Address
KELLY LYNN NICOLAUS LCSW
4520 OAK FAIR BLVD
TAMPA, FL 33610-7356
Phone number: 814-441-5751
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