Organization
SUNSETS AND SNOWFLAKES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIE ELIZABETH NICHOLAS LCSW (PRESIDENT)
(918) 492-2385
Entity
Organization
Contact information
Practice address
5110 S YALE AVE, SUITE 412, TULSA, OK 74135-7401
(918) 492-2385
Mailing address
5110 S YALE AVE, SUITE 412, TULSA, OK 74135-7401
(918) 492-2385
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2472
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2472
STATE LICENSE
OK
Enumeration date
04/01/2010
Last updated
04/01/2010
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