Individual
BAILEY LANE ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
625 N MONTE VISTA ST, ADA, OK 74820-4613
(580) 436-5111
Mailing address
625 N MONTE VISTA ST, ADA, OK 74820-4613
(580) 436-5111
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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