Individual
MARY E. SKIDMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2129 SW 59TH ST, MYHRO CENTER, OKLAHOMA CITY, OK 73119-7024
(405) 713-5876
(405) 713-5786
Mailing address
2201 LANEWAY CIR, OKLAHOMA CITY, OK 73159-5827
(405) 713-5876
(405) 713-5786
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1488
OK
Other
Enumeration date
07/12/2005
Last updated
10/28/2011
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