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Individual

MICHELE K MCCOLM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC-CANDIDATE

Contact information

Practice address
615 H ST SE, MIAMI, OK 74354-7908
(918) 387-8720
Mailing address
615 H ST SE, MIAMI, OK 74354-7908
(918) 387-8720

Taxonomy

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

Other

Enumeration date
01/06/2021
Last updated
01/06/2021
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