Individual
HALLIE SWAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1219 K ST NW, ARDMORE, OK 73401-1801
(580) 798-4523
Mailing address
510 WOLVERTON ST, ARDMORE, OK 73401-4262
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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