Individual
PATRICIA SUSAN COSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LPC
Contact information
Practice address
1201 S MUSTANG RD, MUSTANG, OK 73064-3705
(405) 496-5521
Mailing address
PO BOX 1377, MUSTANG, OK 73064-8377
(405) 496-5521
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2105
OK
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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