Tracie Owen

NPI #1124534565 in Ardmore, Oklahoma

Provider Information

NPI Number: 1124534565
Entity Type: Individual
Name: Tracie Owen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Dec 21, 2017
Last Updated: Dec 22, 2017

Practice Location

Address: 333 W MAIN ST STE 210
City: Ardmore
State: Oklahoma
ZIP Code: 73401-6320
Phone: (580) 224-2929

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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