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Individual

TYWANDA MONIQUE COX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LADC UNDER SUPERVISI

Contact information

Practice address
1330 CLASSED BLVD, SUITE 313, OKLAHOMA CITY, OK 73106
(405) 243-4252
(405) 530-3462
Mailing address
8117 WOODBEND LN, OKLAHOMA CITY, OK 73135-6335
(405) 885-2173
(405) 530-3462

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
05/06/2010
Last updated
05/06/2010
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