Individual
MARLENE HEINRICHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
208 S CORDELL AVE, CORDELL, OK 73632-5416
(580) 660-1220
Mailing address
208 S CORDELL AVE, CORDELL, OK 73632-5416
(580) 660-1220
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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