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1568705739
BILLIE M WALLIS
CHICKASHA, OK
NPI
1568705739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OK 5859)
Enumeration Date
2013-04-05
Last Update Date
2024-08-19
Business Address
Mr. BILLIE M WALLIS LPC-S
804 W CHOCTAW AVE
CHICKASHA, OK 73018-2310
Phone number: 405-222-0622
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Mailing Address
Mr. BILLIE M WALLIS LPC-S
4205 NUGGET LN
TUTTLE, OK 73089-9213
Phone number: 405-381-9140
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