Individual
MRS. TERRI M CHITWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTERS OF EDUCATION
Contact information
Practice address
2104 N BROADWAY ST UNIT A, POTEAU, OK 74953-2538
(918) 647-0571
Mailing address
34363 RIDGE RD, POTEAU, OK 74953-9097
(918) 647-3687
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
171998
OK
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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