Individual
ROBERTA JO KOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A., B.H.R.S.
Contact information
Practice address
602 SW 38TH ST, LAWTON, OK 73505-6912
(580) 248-5780
Mailing address
602 SW 38TH ST, LAWTON, OK 73505-6912
(580) 248-5780
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/01/2011
Last updated
01/04/2013
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