Individual
MALCOLM XAVIER ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
817 NE 63RD ST, OKLAHOMA CITY, OK 73105-6411
(405) 753-7159
Mailing address
817 NE 63RD ST, OKLAHOMA CITY, OK 73105-6411
(405) 414-1648
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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