Provider Information for 1841680030
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PROFESSIONAL STANDARDS OF CARE, LLC
Organization Subpart: NO
NPI: 1841680030
Last Updated: 2015-02-06
Certification Date:
Certification Date:
Details
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NPI | 1841680030 | ||||||||
Enumeration Date | 2015-01-27 | ||||||||
NPI Type | NPI-2 Organization | ||||||||
Status | Active | ||||||||
Authorized Official Information | Name: Ms. REMONICA THOMAS MHR LPC Title: CEO Phone: 9183606577 | ||||||||
Mailing Address | P.O. BOX 141364 BROKEN ARROW, OK 74014-8850 United States Phone: | Fax: | ||||||||
Primary Practice Address | 840 S ASPEN AVE SUITE F BROKEN ARROW, OK 74012-4803 United States Phone: 918-360-6577 | Fax: | ||||||||
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