Individual
CHARLOTTE IAQUINTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
4000 SPYGLASS LN, BETHANY, OK 73008-3060
(405) 722-1220
Mailing address
4000 SPYGLASS LN, BETHANY, OK 73008-3060
(405) 722-1220
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
123
OK
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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