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1316097538
NICOLE SMITH
LOGAN, WV
NPI
1316097538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WV 923)
Enumeration Date
2007-01-11
Last Update Date
2010-07-01
Business Address
-- NICOLE SMITH
RT. 10 THREE MILE CURVE
LOGAN, WV 25601-9998
Phone number: 304-792-7130
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Mailing Address
-- NICOLE SMITH
PO BOX 176
LOGAN, WV 25601-0176
Phone number: 304-792-7130
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