Individual
MADELINE MCGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3413 N BRYANT AVE, EDMOND, OK 73034-4132
(405) 697-4418
Mailing address
3413 N BRYANT AVE, EDMOND, OK 73034-4132
(405) 697-4418
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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