Provider Information for 1225269517
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Ms. NICOLE FALL LCSW, PsyM
Sex: Female
NPI: 1225269517
Last Updated: 2023-11-13
Certification Date: 2023-11-08
Certification Date: 2023-11-08
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1225269517 | ||||||||||||
| Enumeration Date | 2009-08-04 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1 SCOTT RD GREENWICH, CT 06831-2824 United States Phone: 917-517-6293 | Fax: | ||||||||||||
| Primary Practice Address | 1 SCOTT RD GREENWICH, CT 06831-2824 United States Phone: 917-517-6293 | Fax: | ||||||||||||
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