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1083632004
BRENDA S BAUSE
ARDMORE, OK
NPI
1083632004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OK 2337)
Enumeration Date
2006-07-17
Last Update Date
2007-07-08
Business Address
Ms. BRENDA S BAUSE LPC
27B SOUTH WEST SUITE 100 & 200
ARDMORE, OK 73401
Phone number: 918-712-0859
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Mailing Address
Ms. BRENDA S BAUSE LPC
PO BOX 722
ADA, OK 74821-0722
Phone number: 405-210-1110
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