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1588977011
CHILD AND FAMILY THERAPY LLC
EDMOND, OK
NPI
1588977011
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Entity Type
Organization
Authorized Contact
LOU ANN MOORE
Counselor
405-202-2583
Organization Subpart ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OK 3207)
Enumeration Date
2010-07-26
Last Update Date
2010-07-26
Business Address
CHILD AND FAMILY THERAPY LLC
2500 S BROADWAY BUILDING 1, SUITE 110
EDMOND, OK 73013-4038
Phone number: 405-202-2583
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Mailing Address
CHILD AND FAMILY THERAPY LLC
1705 GLACIER LN
EDMOND, OK 73003-4662
Phone number: 405-202-2583
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