Individual
MRS. NICHOLE A OLGUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1600 SUTTER PL, CLOVIS, NM 88101-4611
(575) 769-4490
Mailing address
1600 SUTTER PL, CLOVIS, NM 88101-4611
(575) 769-4490
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-11815
NM
1041S0200X
School Social Worker
M-08863
NM
Other
Enumeration date
01/16/2019
Last updated
03/12/2024
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