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MELISSA PROVENCE

Mental Health Counselor

NPI: 1861075830Individual

Specialties, Licenses & Credentials

Counselor — Mental Health

Code: 101YM0800X

Contact & Hours

Address
2000 E LINCOLN RD
IDABEL, OK 74745

Quick Facts

NPI
1861075830
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
1
Locations
1

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