Individual
BERNETTE CALVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 N MAIN ST, FREDERICK, OK 73542-1421
(580) 335-3320
Mailing address
PO BOX 215, DAVIDSON, OK 73530-0215
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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