Individual
MRS. SUSAN MONTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2405 HWY. 43 EAST, DAISY, OK 74540-0045
(580) 239-1760
Mailing address
PO BOX 45, DAISY, OK 74540-0045
(580) 239-1760
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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