Individual
MISS SANDE NICKEISHA SWABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC INTENT
Contact information
Practice address
2701 N OKLAHOMA AVE, OKLAHOMA CITY, OK 73105-2724
(405) 552-8868
(405) 528-8692
Mailing address
229 CHALMETTE DR APT B, NORMAN, OK 73071-2880
(405) 524-1076
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OK
Other
Enumeration date
03/08/2007
Last updated
07/09/2007
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