Individual
DR. SALLY CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC473 LMFT574
Contact information
Practice address
1300 MCGEE DRIVE, STE 112, NORMAN, OK 73072
(405) 360-0048
(405) 360-0048
Mailing address
1300 MCGEE DRIVE, STE 112, NORMAN, OK 73072
(405) 360-0048
(405) 360-0048
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LMFT574
OK
103T00000X
Psychologist
Primary
LPC473
OK
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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