| Mary L. Sharp, Lcsw, Pc | |
|
3000 United Founders Blvd Suite 148 Oklahoma City OK 73112-3958 | |
| (405) 286-1657 | |
| (405) 286-3944 |
| Full Name | Mary L. Sharp, Lcsw, Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3000 United Founders Blvd, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Mary Lou Sharp (PRESIDENT) |
| Authorized Official Contact | 4052861657 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary L. Sharp, Lcsw, Pc 3000 United Founders Blvd Suite 148 Oklahoma City OK 73112-3958 Ph: (405) 286-1657 | Mary L. Sharp, Lcsw, Pc 3000 United Founders Blvd Suite 148 Oklahoma City OK 73112-3958 Ph: (405) 286-1657 |
| NPI Number | 1891094140 |
|---|---|
| Provider Enumeration Date | 03/24/2011 |
| Last Update Date | 03/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891094140 | NPI | - | NPPES |
| 200280770B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3681 (Oklahoma) | Primary |
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