Individual
CHRISTY VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1540 S 69TH EAST AVE, TULSA, OK 74112-7437
(918) 991-3833
Mailing address
1540 S 69TH EAST AVE, TULSA, OK 74112-7437
(918) 991-3833
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
103K00000X
OK
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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