Individual
MADONNA MAE PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13920 PLANTATION WAY, EDMOND, OK 73013-7268
(405) 740-7380
Mailing address
13920 PLANTATION WAY, EDMOND, OK 73013-7268
(405) 740-7380
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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