Individual
MS. ROBE LEW MOURER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
624 E BASELINE RD, TIPTON, OK 73570
(918) 574-1169
Mailing address
624 E BASELINE RD, TIPTON, OK 73570-6001
(918) 574-1169
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3167
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124127725
—
OK
Enumeration date
09/21/2006
Last updated
07/17/2018
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