Individual
MARCIA MAHURIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11748 N 2420 RD, COLONY, OK 73021-2007
(580) 302-2425
(405) 285-1652
Mailing address
11748 N 2420 RD, COLONY, OK 73021-2007
(580) 302-2425
(405) 285-1652
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3603
OK
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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