Individual
TELEA RENEE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
426925 E 1090 RD, CHECOTAH, OK 74426-5493
(918) 843-1701
(918) 426-5526
Mailing address
426925 E 1090 RD, CHECOTAH, OK 74426-5493
(918) 843-1701
(918) 426-5526
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/31/2019
Last updated
02/04/2019
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