Organization
INSPIRA MENTORING AND COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY NICOLE FRAZIER (BHRS)
(405) 549-4702
Entity
Organization
Contact information
Practice address
5201 S WESTERN AVE, OKLAHOMA CITY, OK 73109-4526
(918) 878-7877
Mailing address
501 W 15TH ST APT 32, EDMOND, OK 73013-3645
(405) 549-4702
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
D08206589
OK
Other
Enumeration date
09/12/2013
Last updated
09/24/2013
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