Individual
MRS. TARA L. HUDDLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED.
Contact information
Practice address
1501 S VIRGINIA AVE, ATOKA, OK 74525-3233
(580) 920-0909
Mailing address
915 W ROCKING R RD, ATOKA, OK 74525-4413
(580) 364-2979
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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