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Individual

VICKI DIANA MCCLAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3233 E MEMORIAL RD, EDMOND, OK 73013-7082
(405) 603-3475
(405) 603-3475
Mailing address
10417 BLUE SPRUCE RD, OKLAHOMA CITY, OK 73162-6725
(405) 627-2034
(405) 627-2034

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3214
OK

Other

Enumeration date
06/01/2007
Last updated
07/08/2007
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