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Individual

MEGAN MARIE SPEARS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
420 W TRUMAN PL, PURCELL, OK 73080-3210
(405) 464-5221
Mailing address
PO BOX 871444, WASILLA, AK 99687-1444
(405) 464-5221

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
20085
OK
101YP2500X
Professional Counselor
210389
AK

Other

Enumeration date
05/01/2023
Last updated
01/28/2024
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