Individual
MICHAL GASTINEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-1000
Mailing address
11217 NW 102ND ST, YUKON, OK 73099-8491
(405) 315-4711
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8530
OK
Other
Enumeration date
05/02/2022
Last updated
04/19/2023
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