Individual
MONICA PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
429 N UNION AVE, SHAWNEE, OK 74801-7019
(405) 275-1844
(405) 275-1124
Mailing address
1501 EAGLE DR, EDMOND, OK 73034-6060
(405) 305-3031
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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