Individual
SEBIEN TREAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 W 13TH ST, ATOKA, OK 74525-3712
(580) 889-5555
(580) 889-1925
Mailing address
908 S RACE ST, COALGATE, OK 74538-3029
(580) 927-8421
(580) 745-9891
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100708380
—
OK
Enumeration date
03/03/2016
Last updated
09/19/2024
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