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Individual

MISS PATRICE WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
B.A

Contact information

Practice address
2701 N OKLAHOMA AVE, OKLAHOMA CITY, OK 73105-2797
(405) 528-8686
(405) 528-8692
Mailing address
2701 N OKLAHOMA AVE, OKLAHOMA CITY, OK 73105-2797
(405) 528-8686
(405) 528-8692

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
16493009626
OK
Enumeration date
07/02/2009
Last updated
07/02/2009
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