Individual
MS. MARY ANN MELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1601 S MAIN ST, STILLWATER, OK 74074-7933
(405) 612-5480
Mailing address
1601 S MAIN ST, STILLWATER, OK 74074-7933
(405) 612-5480
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1832
OK
Other
Enumeration date
04/02/2010
Last updated
07/29/2010
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