Individual
AMBER FORREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
429 BARNES, ALVA, OK 73711
(580) 327-0565
Mailing address
4436 NW 50TH ST, OKLAHOMA CITY, OK 73112-2212
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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