Individual
HEATHER MARLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 NORTH NESHOBA, TISHOMINGO, OK 73460
(580) 618-2546
Mailing address
PO BOX 1282, SULPHUR, OK 73086-8282
(580) 618-2546
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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