Individual
MR. TERRY DOUGLAS MASTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW-LCSW
Contact information
Practice address
2853 NW 20TH ST, OKLAHOMA CITY, OK 73107-3103
(405) 943-9143
Mailing address
2853 NW 20TH ST, OKLAHOMA CITY, OK 73107-3103
(405) 943-9143
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1683
OK
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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