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1487983235
NICKOLE M GRANT
PORT ST LUCIE, FL
NPI
1487983235
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW6338)
Enumeration Date
2009-12-08
Last Update Date
2009-12-08
Business Address
-- NICKOLE M GRANT LCSW
5525 NW DOWNS ST
PORT ST LUCIE, FL 34986-4006
Phone number: 772-878-7944
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Mailing Address
-- NICKOLE M GRANT LCSW
5525 NW DOWNS ST
PORT ST LUCIE, FL 34986-4006
Phone number: 772-878-7944
Copy
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