Individual
NICOLE RANDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
3904 NW 6TH PL, ANKENY, IA 50023-9014
(515) 325-5538
Mailing address
3904 NW 6TH PL, ANKENY, IA 50023-9014
(515) 444-7813
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
091022
IA
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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