Individual
MRS. TANYA FAYE NEWTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
517 OAK ST, ARDMORE, OK 73401-1757
(580) 229-3182
Mailing address
1120 G ST SW, ARDMORE, OK 73401
(580) 465-6684
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/22/2012
Last updated
01/24/2020
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