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Individual

MRS. LUQUETTA DONYELLE MCCLARTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.H.R.

Contact information

Practice address
5710 E RENO AVE STE C, MIDWEST CITY, OK 73110-2005
(405) 455-7244
(405) 455-7292
Mailing address
2513 SE 89TH TER, MOORE, OK 73160-6067
(405) 476-2945

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YP2500X
Professional Counselor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
461950908
OK
Enumeration date
05/13/2010
Last updated
08/23/2018
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