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Individual

MRS. MICHELLE DENISE TERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSW

Contact information

Practice address
101 CHRISTI ST, PAOLI, OK 73074
(405) 484-7825
Mailing address
101 CHRISTI ST, P. O. BOX 336, PAOLI, OK 73074-0336
(405) 484-7825

Taxonomy

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

Other

Enumeration date
12/08/2010
Last updated
12/08/2010
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