Individual
DEMARIO CARNELL NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BHRS
Contact information
Practice address
12625 MEADOWS DRIVE, OKLAHOMA CITY, OK 73120
(405) 456-9929
Mailing address
12625 MEADOWS DRIVE, OKLAHOMA CITY, OK 73120
(405) 456-9929
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
07/11/2011
Last updated
07/11/2011
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