Individual
EMILY OBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19320 E ADMIRAL PL STE B, CATOOSA, OK 74015-3240
(918) 340-5503
(918) 340-5505
Mailing address
19320 E ADMIRAL PL STE B, CATOOSA, OK 74015-3240
(918) 340-5503
(918) 340-5505
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/16/2013
Last updated
06/30/2021
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