Individual
AMI L WARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1500 N 6TH ST, PONCA CITY, OK 74601-2827
(580) 762-7561
(580) 762-2576
Mailing address
1224 RAINBOW DR, PERRY, OK 73077-2039
(580) 370-8814
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NONE
—
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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