Individual
ROBERTA LYNN SNOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CCM
Contact information
Practice address
4800 N MAYFAIR DR, OKLAHOMA CITY, OK 73112-8209
(405) 702-1553
Mailing address
4800 N MAYFAIR DR, OKLAHOMA CITY, OK 73112-8209
(405) 702-1553
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1539
OK
1041C0700X
Clinical Social Worker
1539
OK
Other
Enumeration date
10/14/2008
Last updated
04/04/2011
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