Individual
MARY SUSAN WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C.
Contact information
Practice address
8596 E 101ST ST, SUITE D, TULSA, OK 74133-7034
(918) 671-2705
(918) 369-7017
Mailing address
8596 E 101ST ST, SUITE D, TULSA, OK 74133-7034
(918) 671-2705
(918) 369-7017
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2616
OK
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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