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Individual

BLAKE IMEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
13929 TECHNOLOGY DR, OKLAHOMA CITY, OK 73134-1053
(405) 434-2909
Mailing address
13929 TECHNOLOGY DR, OKLAHOMA CITY, OK 73134-1053
(405) 434-2909

Taxonomy

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

Other

Enumeration date
01/27/2022
Last updated
01/27/2022
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