Individual
EMILY LAUREN FANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 WIND HILL RD, NORMAN, OK 73071-3646
(405) 613-9732
Mailing address
1615 WIND HILL RD, NORMAN, OK 73071-3646
(405) 613-9732
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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