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Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1410 S GIN RD, ATOKA, OK 74525-7348
(580) 889-3399
(580) 889-3887
Mailing address
PO BOX 1012, ANTLERS, OK 74523-1012
(580) 271-7080
(580) 298-2081

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
06/30/2015
Last updated
07/31/2025
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