Individual
MS. NICOLE DESIREE SALTER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3250 E 40TH ST, YUMA, AZ 85365-7748
(928) 341-0335
Mailing address
3250 E 40TH ST, YUMA, AZ 85365-7748
(928) 341-0335
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-10341
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
697865
AHCCCS #
AZ
Enumeration date
06/03/2006
Last updated
07/08/2007
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