Individual
MARA JANE HOBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3828 NW ARLINGTON AVE, LAWTON, OK 73505-4904
(580) 755-0557
Mailing address
3828 NW ARLINGTON AVE, LAWTON, OK 73505-4904
(580) 755-0557
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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