Individual
ANGIE MYREE FORIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.W.
Contact information
Practice address
628 E CREEK AVE, MCALESTER, OK 74501-6930
(918) 423-6030
(918) 423-2370
Mailing address
PO BOX 179, STIGLER, OK 74462-0179
(918) 967-3368
(918) 967-4582
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
958
OK
Other
Enumeration date
05/08/2007
Last updated
12/20/2019
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