Individual
MARY WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13429 E 675 RD, HULBERT, OK 74441-3610
(918) 708-5575
Mailing address
13429 E 675 RD, HULBERT, OK 74441-3610
(918) 708-5575
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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