Individual
MS. LINDA MOUNCE WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
RT 4 SWEET HOME ROAD, #101, BROKEN BOW, OK 74728-9467
(580) 584-2709
Mailing address
PO BOX 1383, BROKEN BOW, OK 74728-1383
(580) 584-2709
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3056
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200225230-A
—
OK
05
—
200225230-B
—
OK
Enumeration date
03/05/2007
Last updated
02/16/2011
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