Individual
DEAN NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1126 N MCKINLEY AVE, SAND SPRINGS, OK 74063-7726
(918) 729-7777
Mailing address
1126 N MCKINLEY AVE, SAND SPRINGS, OK 74063-7726
(918) 729-7777
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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