Individual
ANGELA CLARICE BEATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
351 N AIR DEPOT BLVD, SUITE S, MIDWEST CITY, OK 73110-1700
(405) 610-6540
Mailing address
351 N AIR DEPOT BLVD, SUITE S, MIDWEST CITY, OK 73110-1700
(405) 610-6540
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1447559711
OK
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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