Individual
SHARON G TEAFATILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C., L.A.D.C.
Contact information
Practice address
1312 N 1ST AVE, DURANT, OK 74701-2810
(580) 920-2069
Mailing address
1312 N 1ST AVE, DURANT, OK 74701-2810
(580) 920-2069
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1455
OK
Other
Enumeration date
06/12/2007
Last updated
10/30/2023
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