Individual
TERRI LYNN MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
1390 S DOUGLAS BLVD, MIDWEST CITY, OK 73130-5270
(405) 455-5312
Mailing address
1390 S DOUGLAS BLVD, MIDWEST CITY, OK 73130-5270
(405) 455-5312
(405) 455-5279
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3346
OK
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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