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Individual

MARILYN PRESLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BHRS

Contact information

Practice address
503 W AVENUE D, HEAVENER, OK 74937-2803
(918) 839-2377
Mailing address
503 W AVENUE D, PO BOX 412, HEAVENER, OK 74937-2803
(918) 839-2377

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101Y00000
OK

Other

Enumeration date
03/06/2012
Last updated
03/06/2012
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