Individual
RAKEIA SIMONE MCNEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 W 33RD ST, EDMOND, OK 73013-3863
(405) 216-5608
Mailing address
4519 NE 38TH ST, OKLAHOMA CITY, OK 73121-6400
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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