Individual
MELODY L MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
216 W A ST, WATONGA, OK 73772-4208
(580) 623-7199
(580) 623-7188
Mailing address
PO BOX 221, GEARY, OK 73040-0221
(580) 623-7199
(580) 623-7188
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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