MISTY FOUTCH

WAGONER, OK
NPI1568838597
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2015-08-13
Last Update Date2018-10-22
Business Address
MISTY FOUTCH MA, BHCM II
26243 HIGHWAY 51
WAGONER, OK 74467-8740
Phone number: 918-614-0778
Mailing Address
MISTY FOUTCH MA, BHCM II
26243 HIGHWAY 51
WAGONER, OK 74467-8740
Phone number: 918-614-0778
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