Individual
MS. AMY JEANNE GUDERJOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
803 NE 17TH CT, MOORE, OK 73160-6543
(405) 655-1295
Mailing address
803 NE 17TH CT, MOORE, OK 73160-6543
(405) 655-1295
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/22/2010
Last updated
12/19/2016
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