MS. Gina Roselette Childers, B.A.

NPI #1760718167 in Pryor, Oklahoma

Provider Information

NPI Number: 1760718167
Entity Type: Individual
Name: MS. Gina Roselette Childers, B.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: B.A.
Enumeration Date: Oct 20, 2009
Last Updated: Oct 20, 2009

Practice Location

Address: 109 N FAIRLAND ST STE 101
City: Pryor
State: Oklahoma
ZIP Code: 74361-4225
Phone: (918) 825-2884

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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