Individual
NIKITA TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1015 W WASHBOURNE ST, JAY, OK 74346-4205
(844) 458-2100
Mailing address
1015 W WASHBOURNE ST, JAY, OK 74346-4205
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22294
OK
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
06/01/2026
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