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Individual

MS. ANNE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
425 FAIRVIEW AVE, PONCA CITY, OK 74601-1902
(580) 765-3900
Mailing address
2813 GREEN MEADOW DR, PONCA CITY, OK 74604-3211
(580) 718-0334

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3655
OK

Other

Enumeration date
11/03/2006
Last updated
07/08/2007
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