Individual
MARSHA KAY PECKENPAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24797 S HIGHWAY 66, CLAREMORE, OK 74019-2411
(918) 342-2080
Mailing address
405 N HOGAN ST, PRYOR, OK 74361-2615
(918) 864-7724
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/24/2017
Last updated
07/24/2017
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