Individual
ANN WALLACE ROONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3280 MARSHALL AVE, NORMAN, OK 73072-8022
(405) 321-5574
(405) 292-1787
Mailing address
9802 HEFNER VILLAGE PL, OKLAHOMA CITY, OK 73162-7739
(405) 603-7888
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1850
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11584934
CAQH PROVIDER ID
OK
Enumeration date
08/30/2006
Last updated
07/08/2007
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