Individual
ELIAWNNA HARTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSHR
Contact information
Practice address
2102 N BROADWAY AVE, ADA, OK 74820-1048
(580) 453-1835
Mailing address
2102 N BROADWAY AVE, ADA, OK 74820-1048
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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