Individual
HOLLY WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2530 S COMMERCE ST BLDG C, ARDMORE, OK 73401-5519
(580) 223-5048
Mailing address
2530 S COMMERCE ST BLDG C, ARDMORE, OK 73401-5519
(580) 226-5048
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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