Individual
MRS. LAUNI BO WYLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
RR 1 BOX 131C, EUFAULA, OK 74432-9223
(918) 452-3335
Mailing address
RR 1 BOX 131C, EUFAULA, OK 74432-9223
(918) 452-3335
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203589520
—
OK
Enumeration date
06/14/2010
Last updated
06/14/2010
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