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1659990174
NICOLE DANIELLE WALLICK
WARSAW, IN
NPI
1659990174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN 86000019A)
Enumeration Date
2020-04-14
Last Update Date
2020-04-14
Business Address
NICOLE DANIELLE WALLICK LSW, LAC
2194 N POINTE DR
WARSAW, IN 46582-9043
Phone number: 574-218-6711
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Mailing Address
NICOLE DANIELLE WALLICK LSW, LAC
4309 S PACKERTON RD
WARSAW, IN 46580-8714
Phone number: 574-269-7479
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