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Individual

GWENDOLYN IRENE HARDING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
23 E ROSS AVE, SAPULPA, OK 74066-6423
(918) 227-2016
Mailing address
1506 E NEW ORLEANS PL, BROKEN ARROW, OK 74011-5139
(918) 361-4226

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
12759
OK
101YM0800X
Mental Health Counselor

Other

Enumeration date
10/25/2017
Last updated
05/23/2025
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