Individual
NICOLE LEA LORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
20185 E OCOTILLO RD STE 105, QUEEN CREEK, AZ 85242-7663
(480) 987-2700
(480) 987-2703
Mailing address
254 E GOLD DUST WAY, QUEEN CREEK, AZ 85243-5884
(480) 326-7215
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LC11329
ME
1041C0700X
Clinical Social Worker
Primary
LCSW-12587
AZ
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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