Individual
MISS ASHLEY RENEE HOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N BROADWAY ST, MOORE, OK 73160-4812
(405) 735-4650
Mailing address
400 N BROADWAY ST, MOORE, OK 73160-4812
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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