Individual
MS. MARY KATHERINE MEDECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.P.C.
Contact information
Practice address
5512 S LEWIS AVE, TULSA, OK 74105-7140
(918) 747-1600
(918) 749-2774
Mailing address
5512 S LEWIS AVE, TULSA, OK 74105-7140
(918) 747-1600
(918) 749-2774
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1250
OK
Other
Enumeration date
08/20/2009
Last updated
09/02/2009
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