Individual
SHERIDAN NICOLE RAY FOXWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 587-9471
Mailing address
710 S MARION AVE, TULSA, OK 74112-3930
(918) 691-8017
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPCCANDIDATE11449
OK
Other
Enumeration date
12/22/2022
Last updated
04/16/2024
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