Individual
KELLY ELIZABETH MESZAROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
604 S WALNUT ST, STILLWATER, OK 74074-4222
(918) 418-3045
Mailing address
604 S WALNUT ST, STILLWATER, OK 74074-4222
(918) 418-3045
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43-1236557
—
OK
Enumeration date
04/24/2018
Last updated
01/14/2020
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