Individual
BRIDGET RANEE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31138 S 4425 DR, VINITA, OK 74301-7832
(918) 323-2120
Mailing address
31138 S 4425 DR, VINITA, OK 74301-7832
(918) 323-2120
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5161
OK
101YM0800X
Mental Health Counselor
TEMP
OK
Other
Enumeration date
05/31/2011
Last updated
10/04/2013
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