Organization
MCCOLLEY NICOLA THERAPY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARLENE M NICOLA MSW, LISW (PRESIDENT)
(515) 573-3382
Entity
Organization
Contact information
Practice address
318 7TH AVE N, FORT DODGE, IA 50501-3122
(515) 573-3382
Mailing address
318 7TH AVE N, FORT DODGE, IA 50501-3122
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00661
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649321811
NPPES (NPI)
—
Enumeration date
04/22/2014
Last updated
04/22/2014
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