Individual
REBEKAH L HARTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
715 N 1ST AVE, DURANT, OK 74701-3801
(580) 931-3008
(580) 931-8022
Mailing address
805 W PELTON ST, SHERMAN, TX 75092-2947
(903) 272-4611
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200049040
—
OK
Enumeration date
01/05/2012
Last updated
01/05/2012
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