Individual
HEATHER M FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSRS
Contact information
Practice address
105 PLAZA, MADILL, OK 73446-2248
(580) 795-7439
Mailing address
53 COPPERHEAD LN, ARDMORE, OK 73401-7777
(580) 224-1330
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YM0800X
OK
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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