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Individual

MRS. ASHANTI RENEE MENSAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LADC/CANIDATE

Contact information

Practice address
3005 NW 63RD ST, OKLAHOMA CITY, OK 73116-3603
(405) 521-1755
Mailing address
3900 LAWN DR, DEL CITY, OK 73115-2022
(405) 514-5191

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
01/31/2010
Last updated
01/31/2010
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