NICOLE LYNN OUTLAW

GLENDALE, AZ
NPI1700597234
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AZ  LAC-21448)
Enumeration Date2022-12-06
Last Update Date2022-12-06
Business Address
NICOLE LYNN OUTLAW LAC
17505 N 79TH AVE STE 311G
GLENDALE, AZ 85308-8730
Phone number: 623-876-2029
Mailing Address
NICOLE LYNN OUTLAW LAC
6117 N 12TH ST UNIT 7
PHOENIX, AZ 85014-1718
Phone number: 928-900-3008