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Individual

AMANDA COTHERN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1437 E 38TH PL, APT A, TULSA, OK 74105-3359
(918) 855-9853
Mailing address
1437 E 38TH PL, APT A, TULSA, OK 74105-3359
(918) 855-9853

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
07/12/2011
Last updated
07/12/2011
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