Individual
MS. EMILY ELLEN BEADLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 NE 48TH PL, LAWTON, OK 73507-7317
(580) 355-9096
Mailing address
4645 W GORE BLVD, SUITE 5, LAWTON, OK 73505-6041
(580) 355-6800
(580) 355-0666
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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