Nicole Domine, LICSW

NPI 1396280954 · on the registry since 2017

Practice

Address: 4357 13th Ave S Ste 104
Fargo, ND 58103
Phone: (701) 478-4480
Fax: (701) 478-4481
Organisation at this address: Social Bridge Llc
Collective Care Services Llc
Andrew Wagner Chiropractic Llc
Safecircle Wellness Center Llc
Empowered Life Counseling, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Also registered as: 1041C0700X
Licence states on file: MN, ND
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-11-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Dakota