Individual
JULIE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1108 N WHEELER AVE, SALLISAW, OK 74955-2227
(918) 775-5513
(918) 775-5526
Mailing address
1108 N WHEELER AVE, SALLISAW, OK 74955-2227
(918) 775-5513
(918) 775-5526
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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