Individual
MRS. MARY LYNN WILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1650 W TECUMSEH RD STE 500, NORMAN, OK 73069-8284
(405) 321-0240
(405) 321-7564
Mailing address
1650 W TECUMSEH RD STE 500, NORMAN, OK 73069-8284
(405) 321-0240
(405) 321-7564
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4599
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100708460B
—
OK
Enumeration date
07/12/2012
Last updated
07/12/2012
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