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Individual

JANA WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
308 VETERANS, TALIHINA, OK 74577
(918) 567-3293
Mailing address
308 VETERANS, TALIHINA, OK 74577
(918) 567-3293

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
OK

Other

Enumeration date
03/14/2014
Last updated
03/14/2014
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