Individual
ROMA SNOWBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA CM
Contact information
Practice address
323 W 6TH ST, OKMULGEE, OK 74447-5019
(918) 756-9250
Mailing address
323 W 6TH ST, OKMULGEE, OK 74447-5019
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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