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Organization

MANDY MCHUGH LCSW PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MANDY MCHUGH LCSW (SOLE MEMBER)
(405) 603-4802
Entity
Organization

Contact information

Practice address
6666 NW 39TH EXPY, BETHANY, OK 73008-2760
(405) 603-4802
Mailing address
PO BOX 1729, NORMAN, OK 73070-1729
(405) 809-4222
(405) 364-5379

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3556
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200270190A
OK
Enumeration date
12/04/2009
Last updated
07/19/2011
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