Individual
SUSAN BOXIE REX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2220 N CLASSEN BLVD, SUITE E, OKLAHOMA CITY, OK 73106-5809
(405) 528-1748
(405) 528-1802
Mailing address
13824 HUNTER JACKSON DR, YUKON, OK 73099-1014
(405) 373-0418
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200120060A
—
OK
Enumeration date
04/14/2010
Last updated
04/14/2010
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