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Individual

MISS HEATHER SUE HORNBERGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BS

Contact information

Practice address
3080 W 3RD ST, ELK CITY, OK 73644-4323
(580) 225-5136
(580) 323-0828
Mailing address
2302 W COUNTRY CLUB BLVD APT A7, ELK CITY, OK 73644-2272
(405) 747-5552

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
09/25/2007
Last updated
09/25/2007
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