Individual
TAMARA HEGWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
306 NW 5TH ST, GUYMON, OK 73942-4240
(580) 338-2117
Mailing address
306 NW 5TH ST, GUYMON, OK 73942-4240
(580) 338-2117
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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