Individual
MRS. ANGIE DENISE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
720 N. COMMERCE, STE #634, ARDMORE, OK 73401
(580) 795-4844
(575) 267-6243
Mailing address
720 N. COMMERCE, STE #634, ARDMORE, OK 73401
(580) 795-4844
(575) 267-6243
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5433
OK
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200342320B
—
OK
Enumeration date
02/25/2010
Last updated
05/04/2015
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