GERTRUDE GRACE HAYNES

WAGONER, OK
NPI1366918914
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-10-22
Last Update Date2018-10-22
Business Address
GERTRUDE GRACE HAYNES
2109 S HIGHWAY 69
WAGONER, OK 74467-9310
Phone number: 918-708-3006
Mailing Address
GERTRUDE GRACE HAYNES
2109 S HIGHWAY 69
WAGONER, OK 74467-9310
Phone number: 918-708-3006