Individual
APRIL LYNN FAIRCLOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 N WHEELER AVE, SALLISAW, OK 74955-4617
(918) 235-9903
Mailing address
103 LANITA DR, ROLAND, OK 74954-5001
(918) 774-3712
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/19/2010
Last updated
03/25/2014
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