Individual
MS. NICOLE A CANCHOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
570 W BROWN RD, MESA, AZ 85201-3227
(480) 344-2000
(480) 344-2000
Mailing address
570 W BROWN RD, MESA, AZ 85201-3227
(480) 344-2000
(480) 344-2000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-12926
AZ
Other
Enumeration date
12/10/2008
Last updated
03/12/2010
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