Nicole Idleman

NPI #1376838086 in Madill, Oklahoma

Provider Information

NPI Number
1376838086
Entity Type
Individual
Name
Nicole Idleman
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Jun 10, 2011
Last Updated
Jun 10, 2011

Practice Location

Address
109 SOUTH 1ST
City
Madill
ZIP Code
73446
Phone
(580) 795-3731

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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