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1518424597
NIKOLE JUSTICE
VIENNA, IL
NPI
1518424597
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149020003)
Enumeration Date
2019-02-26
Last Update Date
2019-02-26
Business Address
NIKOLE JUSTICE LCSW
6665 STATE ROUTE 146 E
VIENNA, IL 62995-3122
Phone number: 618-658-8331
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Mailing Address
NIKOLE JUSTICE LCSW
403 PARK LN
HERRIN, IL 62948-4311
Phone number: 618-713-5024
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