Individual
SANDRA L BORNE TUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1505 E MAIN ST, SUITE A, STIGLER, OK 74462-2804
(918) 967-4560
(918) 967-4582
Mailing address
PO BOX 179, STIGLER, OK 74462-0179
(918) 967-3368
(918) 967-4582
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/03/2009
Last updated
03/03/2009
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