Individual
TAMMY MARIE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2530 S COMMERCE ST, ARDMORE, OK 73401-5519
(580) 223-5070
Mailing address
2530 S COMMERCE ST, ARDMORE, OK 73401-5519
(580) 223-5070
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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