Individual
GARRETT NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8905 N 140TH EAST AVE, OWASSO, OK 74055-2635
(918) 519-2377
Mailing address
8905 N 140TH EAST AVE, OWASSO, OK 74055-2635
(918) 519-2377
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/02/2019
Last updated
06/02/2019
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