Patty Lea Imhoof

NPI #1619234309 in Muldrow, Oklahoma

Provider Information

NPI Number: 1619234309
Entity Type: Individual
Name: Patty Lea Imhoof
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Apr 18, 2012
Last Updated: Apr 18, 2012

Practice Location

Address: 472555 E 1070 RD
City: Muldrow
State: Oklahoma
ZIP Code: 74948-6683
Phone: (479) 806-4966

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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