Individual
RICKI LOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
109 S WILLOW ST, PAULS VALLEY, OK 73075-3833
(405) 238-7311
(405) 238-3530
Mailing address
P O BOX 635, MHSSO, PAULS VALLEY, OK 73075-3833
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
104100000X
OK
Other
Enumeration date
03/16/2010
Last updated
03/16/2010
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