Individual
AMBER GIACOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N 5TH ST, MCALESTER, OK 74501-5084
(918) 420-5343
Mailing address
100 N 5TH ST, MCALESTER, OK 74501-5084
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S082086976
OK
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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