Individual
MARCIA LYNN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14900 J ST, KEOTA, OK 74941-6550
(918) 966-3246
Mailing address
14900 J ST, KEOTA, OK 74941-6550
(918) 966-3246
(918) 966-2162
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10-22-12
OK
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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