Individual
MARY MCNUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 S TREATY ROAD, MIAMI, OK 74354
(918) 540-1511
(918) 542-7374
Mailing address
11151 S 620 ROAD, MIAMI, OK 74354
(918) 542-2435
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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