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Individual
MS. PORTIA KAY WICKLIFFE-HERRON
Active
Individual
MS. PORTIA KAY WICKLIFFE-HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC, LPC, LBP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1233
OK
Other
Enumeration date
03/13/2008
Last updated
07/06/2023
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