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Individual

MRS. ADDISON BAILIE MCCONNELL

Active
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Individual

MRS. ADDISON BAILIE MCCONNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BA

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10532
OK
253J00000X
Foster Care Agency
Primary
K860051454
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100733860 B
OK
05
200507310 A
OK
Enumeration date
06/01/2016
Last updated
04/23/2026
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