Individual
ROSE MARY PONDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4045 NW 64TH ST STE 520, OKLAHOMA CITY, OK 73116-8608
(405) 842-4911
(405) 842-5807
Mailing address
2019 N WOODS ST, SHERMAN, TX 75092-2753
(903) 819-5851
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4970
OK
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/04/2019
Last updated
09/05/2019
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