Provider Information for 1518483759
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Ms. NICHOLE LOUISE GARCIA LMSW
Sex: Female
NPI: 1518483759
Last Updated: 2019-11-02
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1518483759 | ||||||||||||
| Enumeration Date | 2017-08-18 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 18215 AUDETTE ST DEARBORN, MI 48124-4218 United States Phone: 313-960-5304 | Fax: | ||||||||||||
| Primary Practice Address | 18215 AUDETTE ST DEARBORN, MI 48124-4218 United States Phone: 313-960-5304 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 13101 ALLEN RD | ||||||||||||
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