Individual
NICOLE MAGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 DOWD CIR, PINEHURST, NC 28374-7932
(910) 295-2609
(719) 283-4160
Mailing address
41 MONTEBELLO RD, PUEBLO, CO 81001-1379
(719) 545-2746
(719) 545-4100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
02/15/2019
Last updated
02/14/2024
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