Individual
MRS. KIMBERLY HICKS NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
864 OAKLAWN DR, TUTTLE, OK 73089-7496
(405) 922-3022
Mailing address
PO BOX 891921, OKLAHOMA CITY, OK 73189-1921
(405) 922-3022
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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