Individual
GAYLE LYNN DUBOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHR, LPC
Contact information
Practice address
414 E 3RD ST, GROVE, OK 74344-7010
(918) 480-1744
Mailing address
68801 E 280 RD, GROVE, OK 74344-5904
(918) 964-0950
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2934
OK
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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