Individual
AMY RUSK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
747 HWY 59 #4, WESTVILLE, OK 74965
(918) 723-3735
(918) 723-3730
Mailing address
994 N. MOSELEY RD, COLCORD, OK 74338
(918) 723-3735
(918) 723-3730
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/25/2010
Last updated
02/26/2015
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