Individual
NUSTASIA S FANTROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
6310 N MERIDIAN AVE, APT 203, OKLAHOMA CITY, OK 73112-1122
(405) 209-8324
Mailing address
6310 N MERIDIAN AVE, APT 203, OKLAHOMA CITY, OK 73112-1122
(405) 209-8324
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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