Individual
AMANDA ANN INGALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3030 NW EXPRESSWAY, SUITE 200, OKLAHOMA CITY, OK 73112-5474
(405) 543-2603
Mailing address
2721 HAVENWOOD COURT, HARRAH, OK 73045
(972) 571-2121
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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