Individual
RITA MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
2801 PARKLAWN DRIVE, SUITE 401B, MIDWEST CITY, OK 73110
(405) 737-5100
(405) 737-5102
Mailing address
2801 PARKLAWN DR, SUITE 401B, MIDWEST CITY, OK 73110-4211
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18
OK
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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