Individual
NICOLE RENEE FENOGLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
2420 N WOODLAWN BLVD STE 300, WICHITA, KS 67220-3960
(316) 347-7157
Mailing address
2420 N WOODLAWN BLVD STE 300, WICHITA, KS 67220-3960
(316) 347-7157
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4700
KS
Other
Enumeration date
09/18/2017
Last updated
01/30/2024
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