Individual
BAREHA AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2035 W HOUSTON ST STE A, BROKEN ARROW, OK 74012-8792
(918) 836-0239
Mailing address
2035 W HOUSTON ST STE A, BROKEN ARROW, OK 74012-8792
(918) 836-0239
(918) 836-6101
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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