Individual
MAVERICK RAY PADGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1410 S GIN RD, ATOKA, OK 74525-7348
(580) 889-3399
Mailing address
154 W SHADY LN, ATOKA, OK 74525-4005
(580) 279-8873
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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