Individual
ROSHELL D MAYBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9337 S 94TH EAST AVE, TULSA, OK 74133-5642
(918) 237-1141
Mailing address
9337 S 94TH EAST AVE, TULSA, OK 74133-5642
(918) 237-1141
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/21/2007
Last updated
02/21/2019
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