Individual
MRS. BECKY LEDON BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
106 W 5TH ST, OKMULGEE, OK 74447-7301
(918) 756-8856
Mailing address
106 W 5TH ST, OKMULGEE, OK 74447-7301
(918) 756-8856
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1862
OK
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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