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1700214871
NICOLE WHEATLEY
LOUISVILLE, KY
NPI
1700214871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 3683)
Enumeration Date
2013-10-28
Last Update Date
2020-10-29
Business Address
NICOLE WHEATLEY LCSW
411 E CHESTNUT ST # 5A6B
LOUISVILLE, KY 40202-1713
Phone number: 502-588-4940
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Mailing Address
NICOLE WHEATLEY LCSW
PO BOX 776879
CHICAGO, IL 60677-6879
Phone number: 502-588-9490
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