Provider Information for 1396392049
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Mrs. NICOLE KRISTINE OUTTEN MSW, LCSW
Sex: Female
NPI: 1396392049
Last Updated: 2019-08-19
Certification Date:
Certification Date:
Details
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NPI | 1396392049 | ||||||||
Enumeration Date | 2019-08-19 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 1307 PHILADELPHIA PIKE WILMINGTON, DE 19809-1821 United States Phone: 302-746-7265 | Fax:302-746-7343 | ||||||||
Primary Practice Address | 1307 PHILADELPHIA PIKE WILMINGTON, DE 19809-1821 United States Phone: 302-746-7265 | Fax:302-746-7343 | ||||||||
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