Individual
AMANDA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 S 1ST ST, LOOKEBA, OK 73053-2504
(405) 274-2959
(405) 274-2959
Mailing address
109 S 1ST ST, LOOKEBA, OK 73053-2504
(405) 274-2959
(405) 274-2959
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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