Individual
SCHALLER MARIE MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
501 E 15TH ST STE 400A, EDMOND, OK 73013-5046
(405) 216-5240
(405) 285-0294
Mailing address
10021 TIM TAM CIR, DALLAS, TX 75229-5927
(405) 550-4763
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
108401
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/22/2010
Last updated
11/05/2025
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