Individual
MS. MALLORY JAYMES HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3700 W TECUMSEH RD APT 4205, NORMAN, OK 73072-1852
(214) 448-5058
Mailing address
3700 W TECUMSEH RD APT 4205, NORMAN, OK 73072-1852
(214) 448-5058
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
66515
TX
1041C0700X
Clinical Social Worker
Primary
7826
OK
Other
Enumeration date
10/23/2018
Last updated
11/09/2022
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