Individual
IVORIE DENISE OKONOBOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
430 W WILSHIRE BLVD, SUITE 9 & 10, OKLAHOMA CITY, OK 73116-7771
(405) 418-7800
(405) 521-8635
Mailing address
430 W WILSHIRE BLVD, SUITE 9 & 10, OKLAHOMA CITY, OK 73116-7771
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200317530B
—
OK
Enumeration date
01/22/2013
Last updated
01/22/2013
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