Individual
TRACY DIANNE GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
608 HIGHWAY 271 N, ANTLERS, OK 74523-2055
(580) 298-5062
(580) 298-5072
Mailing address
608 HIGHWAY 271 N, ANTLERS, OK 74523-2055
(580) 298-5062
(580) 298-5072
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3080
OK
Other
Enumeration date
04/30/2010
Last updated
04/30/2010
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