Individual
ERICA FOREHAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 S HARRILL AVE, WAGONER, OK 74467-5317
(918) 485-0242
Mailing address
109 S HARRILL AVE, WAGONER, OK 74467-5317
(918) 485-0242
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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