Individual
SARAH NICOLE HAWTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12834 S OLD HIGHWAY 169, OOLOGAH, OK 74053-3333
(918) 695-2059
Mailing address
9505 S 4096 RD, OOLOGAH, OK 74053-6283
(816) 500-3296
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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