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Nicole
Nicole
Woller
Licensed clinical social worker
Psychologist
Belleview,
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Florida Board of Medicine
Board Name
BOARD OF CSW/MFT/MHC
Full name
Nicole Woller
Job Title
Licensed Clinical Social Worker
Qualifications
Qualified Supervisor Csw
License Number
SW8553
License Status
Clear/Active
License Issue Date
13/02/2007
License Expiry Date
31/03/2025
Source Type
Professional Profile
Florida Health Care Practitioner Data Portal
Full name
NICOLE WOLLER
Job Title
Licensed Clinical Social Worker
Location
Belleview, FL, USA
LIC ID
11318
Current License Expiration Date
31/03/2025
Original Date
13/02/2007
Professional Rank Code
SW
Effective Date
10/03/2015
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
MARION
Practice Location Address Line 1
5818 SE Agnew Road
Practice Location Address City
BELLEVIEW
Practice Location Address State
FL
Practice Location Address Zipcode
34420
Mode Code
Qualified Supervisor MHC, Qualified Supervisor CSW
Prescribing Indicator
N
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