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1700597234
NICOLE LYNN OUTLAW
GLENDALE, AZ
NPI
1700597234
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: AZ LAC-21448)
Enumeration Date
2022-12-06
Last Update Date
2022-12-06
Business Address
NICOLE LYNN OUTLAW LAC
17505 N 79TH AVE STE 311G
GLENDALE, AZ 85308-8730
Phone number: 623-876-2029
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Mailing Address
NICOLE LYNN OUTLAW LAC
6117 N 12TH ST UNIT 7
PHOENIX, AZ 85014-1718
Phone number: 928-900-3008
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