Individual
MARY DENSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 W BROADWAY AVE, SUITE 2, SULPHUR, OK 73086-6509
(580) 622-2783
(580) 622-5038
Mailing address
PO BOX 1710, KINGSTON, OK 73439-0000
(580) 745-9610
(580) 745-9891
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100708380
—
OK
Enumeration date
03/07/2016
Last updated
03/07/2016
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