Individual
MARY MAPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
905 W MAIN ST, ANTLERS, OK 74523-2045
(580) 326-8664
Mailing address
PO BOX 1085, ANTLERS, OK 74523-1085
(580) 326-8664
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/14/2007
Last updated
07/29/2009
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