Individual
MS. REBECCA LYNN HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
111 S MAIN ST, MCALESTER, OK 74501-5363
(918) 423-5205
Mailing address
6655 S 218TH EAST AVE, BROKEN ARROW, OK 74014-6624
(918) 774-4635
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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