Individual
NICHOLE UMBARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6611 GULTON CT NE, ALBUQUERQUE, NM 87109-4407
(505) 296-3965
Mailing address
6611 GULTON CT NE, ALBUQUERQUE, NM 87109-4407
(505) 296-3965
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
X-09110
NM
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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