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Search › Florida › 1041C0700X

Nicole Woller, PH.D., LCSW

NPI 1881735819 · on the registry since 2007 · sole proprietor

Practice

Address
5818 Se Agnew Rd
Belleview, FL 34420
Phone
(561) 706-1004
Fax
(561) 892-0268
Organisation at this address
Seal Therapeutic Corporation
Pediatric Behavioral Health Associates, Inc.
Pediatric Behavioral Health Associates, Inc.
Pediatric Behavioral Health Associates, Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
103T00000X
103TB0200X
103TF0200X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-04-22

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 Florida