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Individual

AMY ELIZABETH HORNBACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RSS

Contact information

Practice address
2530 S COMMERCE ST, BUILDING B, ARDMORE, OK 73401-5519
(580) 223-5636
Mailing address
2530 S COMMERCE ST BLDG B, ARDMORE, OK 73401-5519
(580) 223-5636
(580) 226-6727

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
106S00000X
Behavior Technician
Primary

Other

Enumeration date
03/23/2011
Last updated
05/22/2023
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