Individual
PAMELA MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5131 N CLASSEN BLVD, OKLAHOMA CITY, OK 73118-5258
(405) 767-1126
Mailing address
11621 SMITH RD, SPENCER, OK 73084-6729
(405) 767-1126
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M080370189
—
OK
Enumeration date
09/20/2011
Last updated
03/20/2013
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