Individual
NICOLE MYHRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FP
Contact information
Practice address
35906 W MERCED STREET, MARICOPA, AZ 85239
(602) 696-8609
Mailing address
35906 W MERCED STREET, MARICOPA, AZ 85239
(602) 696-8609
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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