Organization
MARY MADONNA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MADONNA SCHLUMPBERGER MSW, LCSW (THERAPIST)
(405) 695-2661
Entity
Organization
Contact information
Practice address
5808 NW 109TH ST, OKLAHOMA CITY, OK 73162-5836
(405) 695-2661
Mailing address
5808 NW 109TH ST, OKLAHOMA CITY, OK 73162-5836
(405) 695-2661
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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