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1285211300
NICOLE LAKE
PORTSMOUTH, NH
NPI
1285211300
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NH 5025)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2021-03-25
Last Update Date
2024-07-26
Business Address
NICOLE LAKE
67 CORPORATE DR
PORTSMOUTH, NH 03801-2847
Phone number: 603-610-8050
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Mailing Address
NICOLE LAKE
PO BOX 412503
BOSTON, MA 02241-2503
Phone number:
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