Individual
TERI RENE AVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
1916 E PERKINS AVE, GUTHRIE, OK 73044-5804
(405) 282-8232
(405) 282-3305
Mailing address
6400 E SIMMONS RD, GUTHRIE, OK 73044-8539
(405) 282-8232
(405) 282-3305
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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