Individual
NICOLE JEAN HOAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
301 AVENUE M W, FORT DODGE, IA 50501-5623
(515) 955-4222
Mailing address
1611 ELMHURST AVE, HUMBOLDT, IA 50548-1803
(515) 350-9250
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
06295
IA
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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