Individual
MS. MELODY LORRAINE HEARNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 NE 19TH ST, OKLAHOMA CITY, OK 73111-1418
(405) 445-2452
Mailing address
1800 NE 19TH ST, OKLAHOMA CITY, OK 73111-1418
(405) 445-2452
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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