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Organization

YOUTHCARE OF OKLAHOMA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SANDRA PARKER LPC (DIRECTOR)
(405) 842-8801
Entity
Organization

Contact information

Practice address
3035 NW 63RD ST STE 201, OKLAHOMA CITY, OK 73116-3606
(405) 842-8801
Mailing address
3035 NW 63RD ST STE 201, OKLAHOMA CITY, OK 73116-3606
(405) 842-8801

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary

Other

Enumeration date
09/29/2010
Last updated
09/29/2010
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