Individual
MARGUERITE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
208 N MAIN ST, SAND SPRINGS, OK 74063-7603
(918) 514-4029
Mailing address
4350 W SUNBURST ST, SAND SPRINGS, OK 74063-2257
(918) 514-4547
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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