Individual
MRS. KODY LEIGH SUANNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
901 S BROADWAY, HOBART, OK 73651-1834
(580) 726-3383
(580) 726-3383
Mailing address
901 S BROADWAY, HOBART, OK 73651-1834
(580) 726-3383
(580) 726-3383
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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