Individual
DR. MICHAEL E MACGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PASTORAL COUNSELOR
Contact information
Practice address
501 S PARK ST, SAPULPA, OK 74066-5231
(918) 934-4860
Mailing address
421 W D ST, JENKS, OK 74037-2917
(910) 934-4860
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
16841
FL
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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