NICOLE DANIELLE WALLICK

WARSAW, IN
NPI1659990174
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN  86000019A)
Enumeration Date2020-04-14
Last Update Date2020-04-14
Business Address
NICOLE DANIELLE WALLICK LSW, LAC
2194 N POINTE DR
WARSAW, IN 46582-9043
Phone number: 574-218-6711
Mailing Address
NICOLE DANIELLE WALLICK LSW, LAC
4309 S PACKERTON RD
WARSAW, IN 46580-8714
Phone number: 574-269-7479