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Individual

MS. HOLLY FAYE WIYNINGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSW

Contact information

Practice address
3080 W 3RD ST, ELK CITY, OK 73644-4323
(580) 225-5136
(580) 225-3477
Mailing address
318 N WEST ST, CORDELL, OK 73632-4238
(580) 660-0670

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
080522075
OK

Other

Enumeration date
12/16/2010
Last updated
12/16/2010
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