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Individual

MRS. TERRI LEA MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2307 GORDON COOPER DR, SHAWNEE, OK 74801
(405) 214-5101
Mailing address
307 S MAIN ST, ADA, OK 74820-1151
(580) 436-5450
(580) 436-5539

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1930
OK

Other

Enumeration date
06/03/2007
Last updated
08/09/2018
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