Individual
MS. MECHOLE SARETTA CLINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 SW 30TH ST, OKLAHOMA CITY, OK 73109-6506
(405) 272-1610
Mailing address
4200 N MERIDIAN AVE, APT. 409, OKLAHOMA CITY, OK 73112-2628
(405) 200-5576
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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