Individual
MARILYN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
424 W E ST, JENKS, OK 74037-2935
(918) 499-0418
Mailing address
424 W E ST, JENKS, OK 74037-2935
(918) 499-0418
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4547
OK
Other
Enumeration date
05/22/2014
Last updated
07/24/2023
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