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Individual

EMMA LEE DE LA CRUZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
100 W 7TH ST, OKMULGEE, OK 74447-5007
(918) 758-1910
(918) 756-1270
Mailing address
100 W 7TH ST, OKMULGEE, OK 74447-5007
(918) 758-1910
(918) 756-1270

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
09/28/2012
Last updated
09/28/2012
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