Individual
NICHOLE MARIE MENTZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2817 NW 45TH ST, OKLAHOMA CITY, OK 73112-8221
(405) 201-0620
Mailing address
2817 NW 45TH ST, OKLAHOMA CITY, OK 73112-8221
(405) 201-0620
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/11/2010
Last updated
04/15/2016
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