Organization
NICHOLE MENTZER LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLE M MENTZER LCSW (MANAGING MEMBER)
(405) 201-0620
Entity
Organization
Contact information
Practice address
1745 NW 16TH ST, STE A, OKLAHOMA CITY, OK 73106-2067
(405) 201-0620
(405) 364-5379
Mailing address
419 W GRAY ST, NORMAN, OK 73069-7117
(405) 329-7300
(405) 364-5379
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5444
OK
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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