Individual
AMANDA C MAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2120 S BROADWAY, EDMOND, OK 73013-4021
(405) 203-3736
Mailing address
8409 STONEWOOD DR, OKLAHOMA CITY, OK 73135-6109
(405) 203-3736
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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