Individual
REBECCA MILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4811 GAILLARDIA PKWY, SUITE 110, OKLAHOMA CITY, OK 73142-1874
(405) 403-1932
Mailing address
2000 COPELAND WAY, EDMOND, OK 73025-1362
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1368
OK
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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