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Organization

MEGAN IBANEZ LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MEGAN NICOLE IBANEZ MAMFT (THERAPIST)
(405) 519-6295
Entity
Organization

Contact information

Practice address
2417 NW 161ST ST, EDMOND, OK 73013-1299
(405) 519-6295
Mailing address
2417 NW 161ST ST, EDMOND, OK 73013-1299
(405) 519-6295

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
02/14/2011
Last updated
02/14/2011
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