MELANIE GAYLE VIDRICKSEN

MUSKOGEE, OK
NPI1184824120
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-07-18
Last Update Date2007-07-18
Business Address
-- MELANIE GAYLE VIDRICKSEN
619 N MAIN ST
MUSKOGEE, OK 74401-4431
Phone number: 918-682-2491
Mailing Address
-- MELANIE GAYLE VIDRICKSEN
619 N MAIN ST
MUSKOGEE, OK 74401-4431
Phone number:
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