Individual
VIRGINIA ALLENSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
HC 63 BOX 2100, 107 N. 4410 RD., FT TOWSON, OK 74735-9256
(580) 579-8172
Mailing address
HC 63 BOX 2100, 107 N. 4410 RD., FT TOWSON, OK 74735-9256
(580) 579-8172
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/21/2009
Last updated
07/06/2015
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