Individual
THERESA YU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3035 N TUCKER AVE, SHAWNEE, OK 74804-2284
(580) 298-3001
Mailing address
3035 N TUCKER AVE, SHAWNEE, OK 74804-2284
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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