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1578048120
KRISTINA NICKOLESS
BROOKLYN, NY
NPI
1578048120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 098486-1)
Enumeration Date
2018-09-30
Last Update Date
2018-09-30
Business Address
KRISTINA NICKOLESS
800 POLY PL
BROOKLYN, NY 11209-7104
Phone number: 718-836-6600
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Mailing Address
KRISTINA NICKOLESS
1490 HORNELL LOOP APT 16G
BROOKLYN, NY 11239-2523
Phone number: 646-261-1413
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