Individual
GEMMA LEE MEADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
2530 SOUTH COMMERCE, BLDG. A, ARDMORE, OK 73401-1734
(580) 223-4550
Mailing address
505 COTTONWOOD ST, ARDMORE, OK 73401-1734
(580) 223-4550
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
449
OK
Other
Enumeration date
06/22/2007
Last updated
07/08/2007
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