Individual
NICOLE CHARGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1810 CHARTWELL DR, TRAVERSE CITY, MI 49696-9283
(231) 929-2354
Mailing address
2804 2ND ST SW APT 227, ROCHESTER, MN 55902-4120
(231) 409-2604
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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