Individual
MS. VICKI LYNN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
39953 W 221ST ST S, BRISTOW, OK 74010-8540
(918) 237-0172
Mailing address
39953 W 221ST ST S, BRISTOW, OK 74010-8540
(918) 237-0172
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4030
OK
Other
Enumeration date
06/04/2009
Last updated
06/04/2009
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