Individual
MRS. TAMMIE RACHELE VAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA-CM-A
Contact information
Practice address
4436 NW 50TH ST, OKLAHOMA CITY, OK 73112-2212
(405) 272-0660
(405) 272-4785
Mailing address
305 S ENGLISH ST, MOORE, OK 73160-7107
(405) 245-2475
(405) 522-8661
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
9412
OK
Other
Enumeration date
05/02/2007
Last updated
10/24/2012
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