Individual
YANETH GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CM
Contact information
Practice address
109 N. FAIRLAND ST., PRYOR, OK 74361-4203
(918) 915-1561
(918) 825-1406
Mailing address
109 N. FAIRLAND ST., PRYOR, OK 74361-4203
(918) 915-1561
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21522
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200323940
—
OK
Enumeration date
11/21/2016
Last updated
06/30/2025
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