Individual
AMY REDUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 E GRAYSON AVE, SAPULPA, OK 74066-4536
(918) 227-2622
(918) 227-4644
Mailing address
PO BOX 733, SAPULPA, OK 74067-0733
(918) 633-5198
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/04/2014
Last updated
06/04/2014
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