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1750966560
NICOLE LEA
PETALUMA, CA
NPI
1750966560
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
221700000X Art Therapist
Enumeration Date
2021-03-12
Last Update Date
2024-10-23
Business Address
NICOLE LEA
700 BANTAM WAY
PETALUMA, CA 94952-1709
Phone number: 707-778-4724
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Mailing Address
NICOLE LEA
96 LAUREL DR
FAIRFAX, CA 94930-2144
Phone number: 818-795-0794
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