Individual
CHARMION SUSETTE BUSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
234 SCIPIO LN, MCALESTER, OK 74501-5773
(918) 424-8096
Mailing address
234 SCIPIO LN, MCALESTER, OK 74501-5773
(918) 424-8096
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
OK
251S00000X
Community/Behavioral Health Agency
—
OK
Other
Enumeration date
02/21/2014
Last updated
02/21/2014
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