Individual
GAYLA J WISOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
902 NW 32ND ST, NEWCASTLE, OK 73065-6605
(405) 527-2424
Mailing address
33432 N COUNTY ROAD 3130, ELMORE CITY, OK 73433-8716
(843) 655-1740
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
07/09/2006
Last updated
06/11/2022
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