Individual
NICOLE BOERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.A.G.S., NCSP
Contact information
Practice address
4630 S LAKESHORE DR, APT 362, TEMPE, AZ 85282-7164
(480) 497-9343
(480) 497-9574
Mailing address
4630 S LAKESHORE DR, APT 362, TEMPE, AZ 85282-7164
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3926994
AZ
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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