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Organization

WITHIN THE FRAGMENTS THERAPY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GIDGET D WARNER LCSW (OWNER)
(405) 850-8856
Entity
Organization

Contact information

Practice address
2 E 11TH ST STE 108, EDMOND, OK 73034-3990
(405) 850-8856
(405) 844-7232
Mailing address
2 E 11TH ST STE 108, EDMOND, OK 73034-3990
(405) 850-8856
(405) 844-7232

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200370390B
OK
Enumeration date
08/23/2021
Last updated
08/23/2021
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