Most Relevant Information
Provider Data
NPI Number: | 1003242322 |
Provider Name: | RUTH SELLERS |
Entity Type: | Individual |
Taxonomy Code: | 101Y00000X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 09/18/2013 |
Last Updated: | 09/18/2013 |
Provider Practice Location
106 W MAPLE ST
STILWELL
OK
749603100
Practice Location Phone/Fax
Phone: | 9186965536 |
Fax: |
Provider Mailing Location
106 W MAPLE ST
STILWELL
OK
749603100
Provider Mailing Phone/Fax
Phone: | |
Fax: |