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Individual

MISS PATTI JO VAZQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSWUNDER SUPERVISI

Contact information

Practice address
1095 NICKERSON ST, WAYNOKA, OK 73860-1252
(580) 334-9924
Mailing address
1095 NICKERSON ST, WAYNOKA, OK 73860-1252
(580) 334-9924

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
10/21/2011
Last updated
10/21/2011
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