Individual
AMANDA BLAIR WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
301 S J T STITES ST, SALLISAW, OK 74955-9302
(918) 931-2102
Mailing address
1607 E COLONIAL DR, SALLISAW, OK 74955-5203
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4964
OK
Other
Enumeration date
09/21/2007
Last updated
01/03/2024
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