Individual
KASEY NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC
Contact information
Practice address
1071 W BLUE STARR DR, CLAREMORE, OK 74017-2868
(918) 342-3800
Mailing address
1071 W BLUE STARR DR, CLAREMORE, OK 74017-2868
(918) 342-3800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4063
OK
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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