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NPI Profile for MISTY B ELLERBY in LANGSTON, OK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| NPI # | 1063731834 |
|
| Status | Active | |
| Credentials | LPC CANDIDATE | |
| Entity | Individual | |
| Enumeration date | 05/19/2010 | |
| Last updated | 05/19/2010 - About 16 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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MISTY B ELLERBY
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MISTY B ELLERBY, LPC CANDIDATE