Individual
MRS. MEZYUNEH ANGELIQUE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
407 S 6TH ST, BROKEN ARROW, OK 74012-4352
(918) 845-7830
Mailing address
407 S 6TH ST, BROKEN ARROW, OK 74012-4352
(918) 845-7830
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
251191561
OK
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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