Individual
MRS. NICOLE JEANNE KIRLEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LMSW
Contact information
Practice address
3603 N 7TH AVE, PHOENIX, AZ 85013-3638
(480) 338-8112
(602) 445-9168
Mailing address
3603 N 7TH AVE, PHOENIX, AZ 85013-3638
(480) 338-8112
(602) 445-9168
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12900
AZ
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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