Individual
MRS. LAURIE ANN MALLINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24962 OKAY RD, TECUMSEH, OK 74873-6504
(405) 253-2020
(405) 598-8227
Mailing address
24962 OKAY RD, TECUMSEH, OK 74873-6504
(405) 253-2020
(405) 598-8227
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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