Individual
SANDRA C. MOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
1251 N BROADWAY, SUITE C, EDMOND, OK 73034-3616
(405) 341-3554
(405) 341-3511
Mailing address
917 CAINES HILL RD, EDMOND, OK 73034-2303
(405) 341-3554
(405) 341-3511
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1497
OK
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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