Individual
MRS. MARISA PETERS PATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED.
Contact information
Practice address
9005 N ROXBURY TER, OKLAHOMA CITY, OK 73132-3512
(405) 831-5177
Mailing address
9005 N ROXBURY TER, OKLAHOMA CITY, OK 73132-3512
(405) 831-5177
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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