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Individual

REGHAN NICOLE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW-P, MSW

Contact information

Practice address
820 W 15TH ST, EDMOND, OK 73013-3621
(405) 858-2700
Mailing address
423 SUMMIT RIDGE DR, OKLAHOMA CITY, OK 73114-7651

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21351-P
OK
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
NONE
Enumeration date
08/29/2022
Last updated
01/07/2026
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