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1407697717
NICOLE ELIZABETH CLARK
NORTH SYRACUSE, NY
NPI
1407697717
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY 123078)
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2024-06-03
Last Update Date
2024-06-03
Business Address
NICOLE ELIZABETH CLARK LMSW
7266 BUCKLEY RD
NORTH SYRACUSE, NY 13212-2649
Phone number: 315-458-0919
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Mailing Address
NICOLE ELIZABETH CLARK LMSW
8416B SHALLOWCREEK RD
LIVERPOOL, NY 13090-1328
Phone number: 315-885-0959
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