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Individual

MRS. GLENDA D BOYLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
119 W MAIN ST, HOMINY, OK 74035-1031
(918) 885-4640
Mailing address
210 COUNTY ROAD 3237, BARTLESVILLE, OK 74003-7110
(918) 336-4614

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0816
OK

Other

Enumeration date
12/31/2009
Last updated
12/31/2009
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