Individual
COURTNEY E TRUDEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7908 NW 23RD ST, BETHANY, OK 73008-4950
(405) 440-1006
Mailing address
7908 NW 23RD ST, BETHANY, OK 73008-4950
(918) 845-2711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/21/2012
Last updated
06/15/2015
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