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Organization
POYNER MENTAL HEALTH SERVICES
Active
Organization
POYNER MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY NICOLE WOODHOUSE LPC (OWNER)
(405) 741-2844
Entity
Organization
Contact information
Practice address
14453 SE 29TH ST STE D, CHOCTAW, OK 73020-6543
(405) 741-2844
(405) 733-1334
Mailing address
14453 SE 29TH ST STE D, CHOCTAW, OK 73020-6543
(405) 741-2844
(405) 733-1334
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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