Individual
MRS. TERESA LYNN MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 NW 21ST ST, GUYMON, OK 73942-2738
(580) 338-5214
Mailing address
420 NW 21ST ST, GUYMON, OK 73942-2738
(580) 338-5214
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/28/2012
Last updated
02/28/2012
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