Garrett Nichols

NPI #1598323834 in Owasso, Oklahoma

Provider Information

NPI Number: 1598323834
Entity Type: Individual
Name: Garrett Nichols
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Jun 2, 2019
Last Updated: Jun 2, 2019

Practice Location

Address: 8905 N 140TH EAST AVE
City: Owasso
State: Oklahoma
ZIP Code: 74055-2635
Phone: (918) 519-2377

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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