NICKOLE R VISAN

ELLENDALE, DE
NPI1447590351
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-03-01
Last Update Date2013-03-01
Business Address
-- NICKOLE R VISAN
18514 PENTECOSTAL ST
ELLENDALE, DE 19941-3358
Phone number: 302-424-8080
Mailing Address
-- NICKOLE R VISAN
18514 PENTECOSTAL ST
ELLENDALE, DE 19941-3358
Phone number: 302-424-8080
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