Individual
MRS. JUNE REANAE CHILDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
142 W. MAIN ST., DURANT, OK 74701
(580) 920-2069
(580) 920-1010
Mailing address
142 W. MAIN ST., DURANT, OK 74701
(580) 920-2069
(580) 920-1010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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