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Nicole S Wardell

Counselor in Greenville, SC. Individual provider (NPI-1).

NPI number1124310941
StatusActive
Last updated in NPPESOct 25, 2023

Details

NPI
1124310941
Entity type
Individual (NPI-1)
Name
Nicole S Wardell
Sex
Female
Sole proprietor
No
Enumeration date
May 12, 2011
Certification date
Oct 25, 2023
Last updated
Oct 25, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor5287SCYes

Practice location

7c Cleveland Ct
Greenville, SC 29607-2414

Phone 864-520-5021

Mailing address

63 E Castle Dr
Greenville, SC 29605-3204

Phone 864-901-4600

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