Individual
FADY SROUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A, LPC
Contact information
Practice address
19426 E 49TH ST S, BROKEN ARROW, OK 74014-1330
(918) 355-4253
Mailing address
19426 E 49TH ST S, BROKEN ARROW, OK 74014-1330
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
OK
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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