Individual
MRS. POLLY JANE GUTHRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
4301 WILSON ST, REYNOLDS ARMY COMMUNITY HOSPITAL, FORT SILL, OK 73503-4472
(580) 558-2646
(580) 558-2314
Mailing address
4301 WILSON ST, FORT SILL, OK 73503-4472
(580) 558-2646
(580) 558-2314
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
349
OK
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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