Individual
NICOLE VAN DUYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
120 ALISO DR SE STE G, ALBUQUERQUE, NM 87108-2693
(505) 591-9727
Mailing address
3604 LAFAYETTE DR NE APT 1, ALBUQUERQUE, NM 87107-4356
(505) 591-9727
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
35348
MN
1041C0700X
Clinical Social Worker
L17699
OR
1041C0700X
Clinical Social Worker
Primary
SWB-2023-1126
NM
Other
Enumeration date
07/05/2019
Last updated
02/17/2026
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