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Individual

MARIBEL ROY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
123 E AVENUE C, HEAVENER, OK 74937-2603
(918) 649-0909
(918) 649-0404
Mailing address
PO BOX 285, POTEAU, OK 74953-0285
(918) 413-3225
(918) 649-0404

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7164
OK

Other

Enumeration date
12/20/2012
Last updated
12/27/2024
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