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Individual

MRS. VIRGINIA ANN ARNOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
229 W GENTRY AVE, CHECOTAH, OK 74426-2439
(918) 473-1575
Mailing address
HC 60 BOX 35, CHECOTAH, OK 74426-9405
(918) 617-0411

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4210P
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100745880
OK
Enumeration date
09/09/2011
Last updated
09/09/2011
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