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1740350396
WANDA A BLACKWELL
SHAWNEE, OK
NPI
1740350396
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: OK LPC #3140)
Enumeration Date
2006-11-09
Last Update Date
2010-02-09
Business Address
-- WANDA A BLACKWELL MS, LPC
1131 N KICKAPOO AVE
SHAWNEE, OK 74801-4845
Phone number: 405-275-2877
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Mailing Address
-- WANDA A BLACKWELL MS, LPC
PO BOX 3
MORRIS, OK 74445-0003
Phone number: 918-733-9486
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