Individual
ANDRA LANE WINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
413 N BUGG ST, BOKCHITO, OK 74726-1211
(580) 380-7999
(580) 564-7309
Mailing address
413 N BUGG ST, BOKCHITO, OK 74726-1211
(580) 380-7999
(580) 564-7309
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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