Individual
MADISYN ROMANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13 LEVY ANX, COALGATE, OK 74538-2830
(580) 775-2315
Mailing address
13 LEVY ANX, COALGATE, OK 74538-2830
(580) 775-2315
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
OK
Other
Enumeration date
04/24/2014
Last updated
09/20/2016
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