Individual
MARY KLIEWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 N. MAIN, SUITE 1, FAIRVIEW, OK 73737
(580) 227-2088
(580) 227-2349
Mailing address
1222 10TH ST STE 211, WOODWARD, OK 73801-3156
(580) 227-2088
(580) 227-2349
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC 481
OK
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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