Individual
MARTA LEE HAWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1625 W GARRIOTT RD STE F, ENID, OK 73703-5653
(580) 242-4673
Mailing address
111 WOODCREEK DR, FAIRVIEW, OK 73737-9706
(580) 744-1694
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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