Individual
MARY L BOBO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1625 GREENBRIAR PL, STE 300, OKLAHOMA CITY, OK 73159-7645
(405) 692-4000
(405) 692-4001
Mailing address
1625 GREENBRIAR PL, STE 300, OKLAHOMA CITY, OK 73159-7645
(405) 692-4000
(405) 692-4001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2194
OK
Other
Enumeration date
09/01/2005
Last updated
07/08/2007
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