Individual
ANGEL LATRECE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1217 E 33RD ST, TULSA, OK 74105-2017
(918) 779-4556
Mailing address
2113 N MAIN ST, APT # 204, MUSKOGEE, OK 74401-4039
(918) 693-3806
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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