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Nicole Walls
Mental Health Clinic/Center (Including Community Mental Health Center) in Oologah, Oklahoma
NPI 1134693732

Nicole Walls is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Claremore, OK and is specialized in Mental Health (Including Community Mental Health Center). Nicole Walls practices in Oologah, OK. The NPI Number for Nicole Walls is 1134693732 and holds a License No. (Oklahoma).

The current practice location address for Nicole Walls is 10700 Us 169, Oologah, OK and can be reached out via phone at 918-798-1062.

Location: 10700 Us 169, Oologah, OK, 74017-3159
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134693732
Provider Name
Nicole Walls
Credential
Provider Entity Type
Individual
Gender
Female
Address
10700 Us 169, Oologah, OK, 74017-3159
Phone Number
918-798-1062
Fax Number
Provider Enumeration Date
01/16/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10700 Us 169
City
Oologah
State
Oklahoma
Zip
74080
Phone Number
918-798-1062
Fax Number
person
Provider Business Mailing Address Details
Address
10700 Us 169
City
Oologah
State
Oklahoma
Zip
74080
Phone Number
918-798-1062
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
(Oklahoma)
Definition
Definition to come...
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