Individual
MARILYN REGANA MOUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2816 SW 66TH ST, OKLAHOMA CITY, OK 73159-2608
(405) 551-1097
Mailing address
2816 SW 66TH ST, OKLAHOMA CITY, OK 73159-2608
(405) 551-1097
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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