Individual
MRS. NICOLE ANN NANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1327 WALSH ST SE, RIO RANCHO, NM 87124-2985
(505) 264-9572
Mailing address
1327 WALSH STREE SE, RIO RANCHO, NM 87124
(505) 264-9572
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-07419
NM
Other
Enumeration date
02/04/2011
Last updated
02/04/2011
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