Individual
AUNDREA REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5019 N ROCKWELL AVE, BETHANY, OK 73008-2443
(405) 555-1234
Mailing address
123 MAIN ST, OKC, OK 73104
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/19/2014
Last updated
01/27/2015
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