Individual
MAYTE A BRACERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 S ACADEMY RD, GUTHRIE, OK 73044-8727
(201) 268-9592
Mailing address
205 S ACADEMY RD, GUTHRIE, OK 73044-8727
(201) 268-9592
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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