Individual
EMMA GREENBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8516 S PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73159-5226
(405) 229-7972
Mailing address
PO BOX 957, BETHANY, OK 73008-0957
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
OK
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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