Individual
ANNA WILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
314 S BROADWAY AVE, ADA, OK 74820-5828
(580) 235-0210
Mailing address
PO BOX 662, PURCELL, OK 73080-0662
(405) 527-1785
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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