Individual
PATRICIA FAYE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SCHOOL PSYCHOMESTRIS
Contact information
Practice address
111 S MAIN ST, MCALESTER, OK 74501-5303
(918) 423-5204
(918) 423-5255
Mailing address
111 S MAIN ST, MCALESTER, OK 74501-5303
(918) 423-5204
(918) 423-5255
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200305190B
—
OK
Enumeration date
04/14/2015
Last updated
04/14/2015
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