Individual
MRS. QUIANA MONIQUE NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
202 W BROADWAY ST, MUSKOGEE, OK 74401-6651
(918) 684-3700
(918) 684-3724
Mailing address
202 W BROADWAY ST, MUSKOGEE, OK 74401-6651
(918) 684-3700
(918) 684-3724
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3093
OK
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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