MICKI MELINDA FOUSE

ANTLERS, OK
NPI1679881361
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2010-09-16
Last Update Date2010-09-16
Business Address
-- MICKI MELINDA FOUSE
608 HIGHWAY 271 N
ANTLERS, OK 74523-2055
Phone number: 580-298-5062
Mailing Address
-- MICKI MELINDA FOUSE
RR 2 BOX 989
VALLIANT, OK 74764-9761
Phone number: 580-298-5062
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