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1427575182
DEIDRA NICKEL
TULSA, OK
NPI
1427575182
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OK 6528)
Enumeration Date
2017-08-24
Last Update Date
2017-08-24
Business Address
DEIDRA NICKEL LPC
4930 S SHERIDAN RD
TULSA, OK 74145-5712
Phone number: 918-392-4008
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Mailing Address
DEIDRA NICKEL LPC
17601 S 161ST EAST AVE
BIXBY, OK 74008-7504
Phone number:
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