Individual
MRS. SUSAN A VILAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, BHRS
Contact information
Practice address
111 S MAIN ST, MCALESTER, OK 74501-5363
(918) 423-5205
Mailing address
8709 S 71ST EAST AVE, TULSA, OK 74133-5054
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/14/2011
Last updated
05/14/2011
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