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1306113964
SUSAN RENAE GROOM
GUTHRIE, OK
NPI
1306113964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-11-28
Last Update Date
2011-11-28
Business Address
-- SUSAN RENAE GROOM
201 W OKLAHOMA AVE SUITE 218-219
GUTHRIE, OK 73044-3144
Phone number: 405-282-2934
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Mailing Address
-- SUSAN RENAE GROOM
1517 E ROOSEVELT AVE
GUTHRIE, OK 73044-6102
Phone number:
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