Individual
SOPHIA RENEE NIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.S.W
Contact information
Practice address
2617 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107-6437
(405) 858-1700
Mailing address
PO BOX 12978, OKLAHOMA CITY, OK 73157-2978
(956) 330-3759
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/17/2013
Last updated
10/16/2017
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