NICOLE PHOENIX ANDERSON

LOS RANCHOS, NM
NPI1730126343
Former NameNICOLE PHOENIX GIBSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: NM  0976)
Enumeration Date2006-06-01
Last Update Date2014-06-20
Business Address
DR. NICOLE PHOENIX ANDERSON PHD
6501 4TH ST NW F4
LOS RANCHOS, NM 87107-5800
Phone number: 505-344-9641
Mailing Address
DR. NICOLE PHOENIX ANDERSON PHD
PO BOX 66684
ALBUQUERQUE, NM 87193-6684
Phone number: 505-344-9641
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