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1669676607
NICOLE JANE SIVA
ELKINS, WV
NPI
1669676607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: WV AP00942414)
Enumeration Date
2007-06-13
Last Update Date
2007-07-08
Business Address
Mrs. NICOLE JANE SIVA LSW
971 HARRISON AVE YOUTH HEALTH SERVICE
ELKINS, WV 26241
Phone number: 304-636-9450
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Mailing Address
Mrs. NICOLE JANE SIVA LSW
108 VALLEY COURT
ELKINS, WV 26241
Phone number: 304-636-3853
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