Individual
SARAH KATHERINE VIDRINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 SONOMA PARK DR BLDG 2, EDMOND, OK 73013-2092
(318) 680-2103
Mailing address
2000 SONOMA PARK DR BLDG 2, EDMOND, OK 73013-2092
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10301
OK
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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