Individual
MS. NICOLE LYNN BLEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 PERIMETER CENTER DR STE 150, OKLAHOMA CITY, OK 73112-2328
(405) 230-1900
Mailing address
PO BOX 12147, OKLAHOMA CITY, OK 73157-2147
(405) 230-1900
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/14/2013
Last updated
06/21/2013
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