Individual
MALORI BETH MIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
144 W RUTH AVE, ATOKA, OK 74525-4002
(918) 649-7989
Mailing address
948 W 13TH ST, ATOKA, OK 74525-3425
(918) 649-7989
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
171M00000X
Case Manager/Care Coordinator
—
OK
Other
Enumeration date
03/01/2021
Last updated
07/25/2024
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