Individual
MARILOU G. BORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2334 LONDON LN, BARTLESVILLE, OK 74006
(918) 230-8831
Mailing address
2334 LONDON LN, BARTLESVILLE, OK 74006-7409
(918) 230-8831
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1395
OK
Other
Enumeration date
11/01/2006
Last updated
06/06/2018
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