Individual
MR. MYRON DEWAYNE MAYBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
245 W WILSHIRE BLVD STE A, OKLAHOMA CITY, OK 73116-7754
(405) 286-3900
(405) 286-3911
Mailing address
245 W WILSHIRE BLVD STE A, OKLAHOMA CITY, OK 73116-7754
(405) 286-3900
(405) 286-3911
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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