RITA M BALLINGER

TAHLEQUAH, OK
NPI1497950752
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK  281)
Enumeration Date2007-06-18
Last Update Date2013-08-02
Business Address
-- RITA M BALLINGER CAdc
109 W 2ND ST
TAHLEQUAH, OK 74464-4723
Phone number: 918-431-0418
Mailing Address
-- RITA M BALLINGER CAdc
2512 GIBSON ST
MUSKOGEE, OK 74403-2711
Phone number: 918-441-9110
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