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1851831432
VIRGINIA TEDLOCK
SHAWNEE, OK
NPI
1851831432
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OK 1965)
Enumeration Date
2017-03-02
Last Update Date
2017-03-02
Business Address
-- VIRGINIA TEDLOCK LPC
1904 GORDON COOPER DR
SHAWNEE, OK 74801-8603
Phone number: 405-273-2157
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Mailing Address
-- VIRGINIA TEDLOCK LPC
394006 E LL50 RD
WELEETKA, OK 74880
Phone number: 918-652-1643
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