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Individual

MS. SYCHEEKIA S PETERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11032 QUAIL CREEK RD, SUITE 265, OKLAHOMA CITY, OK 73120-6219
(405) 751-8640
Mailing address
5101 SE 58TH PL, OKLAHOMA CITY, OK 73135-4416
(405) 317-8729

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
27-5161815
OK
Enumeration date
05/08/2012
Last updated
05/08/2012
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