Individual
MRS. ELIZABETH JADE EASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 S MURRAY ST, TISHOMINGO, OK 73460-2224
(580) 371-0321
(580) 371-0131
Mailing address
201 S MURRAY ST, TISHOMINGO, OK 73460-2224
(580) 371-0321
(580) 371-0131
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
261Q00000X
OK
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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