Individual
MR. MARIO A PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1222 10TH ST, SUITE 211, WOODWARD, OK 73801-3156
(580) 256-8615
Mailing address
1222 10TH ST, SUITE 211, WOODWARD, OK 73801-3156
(580) 256-8615
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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