Individual
MELISSA GINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
1213 E JACKSON ST, HUGO, OK 74743-4229
(580) 326-7400
Mailing address
1213 E JACKSON ST, HUGO, OK 74743-4229
(580) 326-7400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/18/2009
Last updated
10/18/2009
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