Individual
NANCY LYNNA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2310 W. BROADWAY, MUSKOGEE, OK 74401
(918) 682-7210
Mailing address
2310 W. BROADWAY, MUSKOGEE, OK 74401
(918) 682-7210
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
080763525
—
Other
Enumeration date
08/14/2007
Last updated
07/31/2023
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