Individual
THERESA L MCCARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 W MAIN ST, WILBURTON, OK 74578-4047
(918) 721-1769
Mailing address
PO BOX 877, CLAYTON, OK 74536-0877
(918) 721-1769
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
08/24/2011
Last updated
06/20/2012
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