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ELIZABETH GOODEYON

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1124335369

Individual Registrant:
 ELIZABETH  GOODEYON 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
138 S MAIN  AFTON, OK 74331-1822 US
Tel: 918-257-4244  Fax: 918-257-4247

Contact information for business:
114 W DELAWARE AVE  NOWATA, OK 74048-2601 US
Tel: 918-273-1841  Fax: 918-273-1843

Registration Information:
NPI: 1124335369
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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