Individual
ELLA ANN GWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 SOUTH MAIN, MCALESTER, OK 74501
(918) 302-7391
Mailing address
111 SOUTH MAIN, MCALESTER, OK 74501
(918) 302-7391
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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