Individual
KARENA BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12005 E 470 RD, CLAREMORE, OK 74017-3737
(918) 342-0770
(918) 342-0087
Mailing address
610 N WEENONAH AVE, CLAREMORE, OK 74017-6034
(918) 978-4902
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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