Individual
MELISSA THOMASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 W LINCOLN ST, PURCELL, OK 73080-1638
(405) 620-3269
Mailing address
801 W LINCOLN ST, PURCELL, OK 73080-1638
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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