Individual
NICOLE YVONNE AGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
305 E CHERRY AVE STE 205, FLAGSTAFF, AZ 86001-4626
(928) 605-3497
Mailing address
305 E CHERRY AVE STE 205, FLAGSTAFF, AZ 86001-4626
(928) 605-3497
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCSW-22118
AZ
1041C0700X
Clinical Social Worker
Primary
LCSW22118
AZ
Other
Enumeration date
03/08/2024
Last updated
01/12/2025
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