Individual
MS. MENA GANESAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5131 N CLASSEN BLVD, SUITE 102, OKLAHOMA CITY, OK 73118-5258
(405) 767-1126
Mailing address
13908 PLANTATION WAY, EDMOND, OK 73013-7268
(405) 627-9263
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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