Individual
MRS. BLAINE BERTREM COFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2530 S COMMERCE ST, ARDMORE, OK 73401-5519
(580) 223-5070
Mailing address
2530 S COMMERCE ST, ARDMORE, OK 73401-5519
(580) 223-5070
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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