Individual
TRUDY LEANN MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
123 E AVENUE C, HEAVENER, OK 74937-2603
(918) 653-2543
Mailing address
18489 SAND PLANT RD, SPIRO, OK 74959-4737
(479) 806-7279
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7730
OK
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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