Individual
ANNIE GAY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
210 S MAYES ST, PRYOR, OK 74361-3228
(918) 931-9292
Mailing address
210 S MAYES ST, PRYOR, OK 74361-3228
(918) 931-9292
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4337
OK
Other
Enumeration date
02/27/2008
Last updated
02/21/2012
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