Individual
BECKY GONELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27753 S WELLING RD, WELLING, OK 74471-2202
(918) 797-7786
Mailing address
27753 S WELLING RD, WELLING, OK 74471-2202
(918) 797-7786
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A1401006
AR
Other
Enumeration date
01/27/2014
Last updated
04/08/2014
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