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

Registrant NPI Number: 1306157144

Individual Registrant:
Gender: F
Sole Proprietor

Location and contact information for practice:
1026 E 132ND ST  GLENPOOL, OK 74033-2307 US
Tel: 918-381-0225  Fax: --

Contact information for business:
1026 E 132ND ST  GLENPOOL, OK 74033-2307 US
Tel: 918-381-0225  Fax: --

Registration Information:
NPI: 1306157144
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers

Legacy codes, insurance codes and state license numbers:



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