Individual
MARTHA MCCRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1803 S WOOD DR, OKMULGEE, OK 74447-6825
(918) 756-9250
Mailing address
118062 S 4140 RD, EUFAULA, OK 74432-2872
(210) 663-5869
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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