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NPI Code Detail

MEDICARE: GAIL LYNN SNOW MS LPC

MEDICARE: GAIL LYNN SNOW MS LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor033OK

General Provider Information

NPI Number : 1346232675
Entity Type Code : Individual
Provider Name (Legal Business Name) : GAIL LYNN SNOW MS LPC
Provider Business Mailing Address
First Line : PO BOX 19039
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73144-0039
Country : US
Telephone Number : 405-713-5874
Fax Number : 405-713-5786
Provider Business Practice Location Address
First Line : 2129 SW 59TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73119-7024
Country : US
Telephone Number : 405-713-5874
Fax Number : 405-713-5786
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2005
Last Update Date : 07/08/2007

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