Individual
MISS PHYLLIS JEAN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
804 S. CHOCKTAW AVE., CHICKASHA, OK 73018
(405) 222-0622
(405) 224-9532
Mailing address
804 S. CHOCKTAW, CHICKASHA, OK 73018
(405) 222-0622
(405) 224-9532
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3600
OK
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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