Individual
MADELINE MERRIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BACHELOR'S
Contact information
Practice address
624 NW 5TH ST, MOORE, OK 73160-3924
(405) 912-3871
(405) 799-0912
Mailing address
336 FALLING LEAF TER, MOORE, OK 73160-6756
(405) 799-3379
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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