Individual
MAHOGANY GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3035 NW 63RD ST, OKLAHOMA CITY, OK 73116-3632
(405) 551-7118
Mailing address
PO BOX 6311, EDMOND, OK 73083-6311
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/24/2012
Last updated
10/09/2024
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