Individual
MISS JODI RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45812 LOVINGS CHURCH LN, HEAVENER, OK 74937-9110
(918) 658-5644
Mailing address
45812 LOVINGS CHURCH LN, HEAVENER, OK 74937-9110
(918) 658-5644
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/11/2011
Last updated
12/11/2011
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