Individual
MRS. NICOLE LOUISE MAZZOLA-HELMKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW, LCSW
Contact information
Practice address
1234 E DUPONT RD STE 1, FORT WAYNE, IN 46825-1545
(260) 425-6390
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008680A
IN
Other
Enumeration date
03/26/2021
Last updated
07/09/2021
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