Individual
SUSAN ELAINE VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(918) 577-3350
Mailing address
7511 E 18TH ST S, MUSKOGEE, OK 74403-8246
(918) 577-3350
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
35869
TX
Other
Enumeration date
10/17/2006
Last updated
05/05/2009
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