Individual
MARIAH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 N CLASSEN BLVD, OKLAHOMA CITY, OK 73118-4627
(405) 607-6292
(405) 607-6307
Mailing address
4801 N CLASSEN BLVD, OKLAHOMA CITY, OK 73118-4627
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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