Individual
REBECCA WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11202 NW 114TH ST, YUKON, OK 73099-8780
(405) 537-0059
Mailing address
11202 NW 114TH ST, YUKON, OK 73099-8780
(405) 537-0059
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/18/2018
Last updated
05/18/2018
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