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Individual

TRACY NANETTE MCKEOWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC-C

Contact information

Practice address
1777 S YUKON PKWY, YUKON, OK 73099-4599
(405) 556-0656
Mailing address
4732 STAG HORN DR, YUKON, OK 73099-2342
(405) 556-0656

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
OK

Other

Enumeration date
07/23/2020
Last updated
07/23/2020
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