Individual
MRS. TAUSHA SMITH MAYBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
245 W WILSHIRE BLVD STE A, OKLAHOMA CITY, OK 73116-7754
(405) 286-3900
(405) 286-3911
Mailing address
245 W WILSHIRE BLVD STE A, OKLAHOMA CITY, OK 73116-7754
(405) 286-3900
(405) 286-3911
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2383
OK
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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