Individual
MS. NICOLE RENEE DOMZALSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 N. DOBSON RD, STE F-2, CHANDLER, AZ 85224-8522
(480) 722-1300
(480) 422-3824
Mailing address
3200 N. DOBSON RD, STE F-2, CHANDLER, AZ 85224-9611
(480) 634-5440
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP6832
AZ
235Z00000X
Speech-Language Pathologist
TSLP6832
AZ
Other
Enumeration date
08/26/2010
Last updated
09/07/2018
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