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Individual

EMILY J RENFROW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
20155 N AIRPORT RD, STIGLER, OK 74462-2631
(918) 967-2558
Mailing address
PO BOX 202, STIGLER, OK 74462-0202
(918) 967-2558

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
944
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
20054500B
OK
Enumeration date
03/30/2007
Last updated
06/10/2014
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