Individual
SARA ANN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
624 NW 5TH ST, MOORE, OK 73160-3924
(405) 799-3379
Mailing address
624 NW 5TH ST, MOORE, OK 73160-3924
(405) 799-3379
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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