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Individual

MICHELLE LYNN THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
13321 S 21ST CT, BIXBY, OK 74008-1039
(918) 995-9372
Mailing address
13321 S 21ST CT, BIXBY, OK 74008-1039
(918) 995-9372

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
02/10/2013
Last updated
02/10/2013
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