Individual
BIVIAN O GENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
24688 N MAY AVE, EDMOND, OK 73025-9116
(405) 517-6067
Mailing address
24688 N MAY AVE, EDMOND, OK 73025-9116
(405) 517-6067
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
301092
OK
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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