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TATIA CLOSE

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1285923136

Individual Registrant:
 TATIA  CLOSE 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1185 VILLAGE RD  KINGSTON, OK 73439-1138 US
Tel: 580-564-3060  Fax: --

Contact information for business:
1185 VILLAGE RD  KINGSTON, OK 73439-1138 US
Tel: 580-564-3060  Fax: --

Registration Information:
NPI: 1285923136
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS OK - Page 1

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