Individual
NICOLE L SPRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1028 NE 4TH STREET, GUYMON, OK 73942-1739
(580) 651-1114
Mailing address
1028 NE 4TH ST, GUYMON, OK 73942-5428
(580) 468-2798
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OK
Other
Enumeration date
04/13/2007
Last updated
06/21/2013
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