Individual
MRS. CLEASHA ANN BAERISWYL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 S ROCK ISLAND AVE, EL RENO, OK 73036-2734
(405) 262-5422
Mailing address
203 S ROCK ISLAND AVE, EL RENO, OK 73036-2734
(405) 262-5422
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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