Individual
ANGELA OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
421 BENT TREE DR, MIDWEST CITY, OK 73130-3225
(405) 973-6188
Mailing address
421 BENT TREE DR, MIDWEST CITY, OK 73130-3225
(405) 973-6188
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R081038600
—
OK
Enumeration date
08/13/2010
Last updated
04/30/2012
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