Individual
MRS. AMY M RETHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15108 VICKI DR, OKLAHOMA CITY, OK 73170-7518
(405) 802-1547
Mailing address
15108 VICKI DR, OKLAHOMA CITY, OK 73170-7518
(405) 802-1547
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/29/2013
Last updated
06/29/2013
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