Individual
KATHRYN ANN MCNICHOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2120 S MCCLINTOCK DR, TEMPE, AZ 85282-2692
(480) 804-0326
(480) 804-0083
Mailing address
10004 E PURDUE ACE, SCOTTSDALE, AZ 85258
(602) 741-9556
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-15136
AZ
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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