Individual
ANDREKA PACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
223 W SOUTHSIDE BOULEVARD, MUSKOGEE, OK 74401
(918) 310-0366
Mailing address
223 W SOUTHSIDE BOULEVARD, MUSKOGEE, OK 74401
(918) 310-0366
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/17/2013
Last updated
05/17/2013
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