Individual
MRS. FELICIA RENEE PEARCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1602 N D ST, MCALESTER, OK 74501-2314
(918) 426-1614
Mailing address
307 W TURNPIKE RD, MCALESTER, OK 74501-2580
(918) 429-5115
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194095364
—
OK
Enumeration date
01/05/2012
Last updated
03/19/2019
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