NICOLE PRENTICE

MOSES LAKE, WA
NPI1821624438
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WA  SC61034969)
Enumeration Date2020-03-14
Last Update Date2020-03-14
Business Address
NICOLE PRENTICE LSWAIC
1021 W BROADWAY AVE
MOSES LAKE, WA 98837-2604
Phone number: 509-750-0304
Mailing Address
NICOLE PRENTICE LSWAIC
2848 ROAD 14.1 NW
EPHRATA, WA 98823-7822
Phone number: 509-750-0304
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