Gertrude Grace Haynes

NPI #1366918914 in Wagoner, Oklahoma

Provider Information

NPI Number
1366918914
Entity Type
Individual
Name
Gertrude Grace Haynes
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Oct 22, 2018
Last Updated
Oct 22, 2018

Practice Location

Address
2109 S HIGHWAY 69
ZIP Code
74467-9310
Phone
(918) 708-3006

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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