Individual
DAMETRA MAE GALVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LMSW
Contact information
Practice address
2102 N BROADWAY AVE, ADA, OK 74820-1048
(580) 453-1835
Mailing address
2102 N BROADWAY AVE, ADA, OK 74820-1048
(580) 453-1835
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/28/2019
Last updated
02/19/2020
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