Individual
MARTHA BLOODWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSRS
Contact information
Practice address
608 HWY 271 NORTH, ANTLERS, OK 74523
(580) 298-5062
(580) 298-5072
Mailing address
608 HWY 271 NORTH, ANTLERS, OK 74523
(580) 298-5062
(580) 298-5072
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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