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Individual

MACAIAH MARIE RODGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1108 N WHEELER AVE, SALLISAW, OK 74955-2227
(918) 775-5513
Mailing address
102 CHITWOOD DR, POTEAU, OK 74953-2326
(785) 218-9306

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
04/03/2023
Last updated
02/04/2025
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