Individual
MEGAN LYNN FASSINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E WYANDOTTE AVE, MCALESTER, OK 74501-5464
(918) 420-5238
Mailing address
PO BOX 902, KREBS, OK 74554-0902
(918) 470-3777
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
09/14/2011
Last updated
01/07/2020
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