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Organization
EVA HARTLEY LPC LADC PLLC
Active
Organization
EVA HARTLEY LPC LADC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETHEL EVA HARTLEY LPC LADC (OWNER)
(405) 240-2469
Entity
Organization
Contact information
Practice address
414 W MONROE ST, PURCELL, OK 73080-3208
(405) 420-2469
Mailing address
414 W. MONROE, PUECELL, OK 74878
(405) 420-2469
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
5490
OK
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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