Individual
MICHELLE MAUNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
112 W MAIN ST, PURCELL, OK 73080-4220
(405) 527-1785
Mailing address
112 W MAIN ST, PURCELL, OK 73080-4220
(405) 527-1785
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21146
OK
Other
Enumeration date
07/27/2018
Last updated
09/24/2024
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