Individual
CHRISTINA MARIE RUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3445 KOEHLER LOOP, FORT SILL, OK 73503-6008
(580) 442-4063
Mailing address
408 NW EUCLID AVE, LAWTON, OK 73507-6955
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7242
OK
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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