PATRICIA IRENE WALLACE

HUGO, OK
NPI1043336704
Former NamePATRICIA IRENE RUDROW
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OK  3190)
Enumeration Date2007-03-22
Last Update Date2007-07-08
Business Address
Mrs. PATRICIA IRENE WALLACE LPC,LADC
104 N 4TH ST
HUGO, OK 74743-4003
Phone number: 580-326-7531
Mailing Address
Mrs. PATRICIA IRENE WALLACE LPC,LADC
104 N 4TH ST
HUGO, OK 74743-4003
Phone number: 580-326-7531
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