Individual
MS. LINDA KAY PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
209 W BROADWAY ST, OKEMAH, OK 74859-2618
(918) 623-9054
Mailing address
RR 3 BOX 96D, OKEMAH, OK 74859-9441
(918) 623-9054
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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