Nicole West, PENDING

NPI #1114288453 in Jonesboro, Arkansas

Provider Information

NPI Number: 1114288453
Entity Type: Individual
Name: Nicole West, PENDING
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: PENDING
Enumeration Date: Jun 4, 2012
Last Updated: Jun 4, 2012

Practice Location

Address: 806 GLENDALE ST
City: Jonesboro
State: Arkansas
ZIP Code: 72401-4455
Phone: (870) 933-9528

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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