Individual
PEGGY HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
503 E. CINCINNATI AVENUE, MUSKOGEE, OK 74403
(918) 681-1116
Mailing address
502 E CINCINNATI AVE, MUSKOGEE, OK 74403-5535
(918) 681-1116
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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