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General NPI Number Information
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NPI Number | 1447904289
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Entity Type | Organization
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Legal Business Name | NICOLE SOBH THERAPY LLC
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Dates
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Enumeration Date | 02/10/2022
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Last Update Date | 04/19/2025
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Provider Practice Location Address
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Address Line | 330 S LAFAYETTE ST
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City | DEARBORN
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State | MI
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Zip | 48124-1316
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Country | US
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Telephone | 313-969-3705
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Fax |
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Provider Business Mailing Address
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Address Line | 330 S LAFAYETTE ST
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City | DEARBORN
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State | MI
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Zip | 48124-1316
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Country | US
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Telephone | 734-655-0051
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | MRS. NICOLE MARIE SOBH
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Credential | LMSW
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Telephone | 313-969-3705
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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