| Mary Melton Llc | |
|
1601 S Main St Stillwater OK 74074-7933 | |
| (405) 612-5480 | |
| Not Available |
| Full Name | Mary Melton Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1601 S Main St, Stillwater, Oklahoma |
| Authorized Official Name and Position | Mary A Melton (LICENSED COUNSELOR) |
| Authorized Official Contact | 4056125480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Melton Llc 1601 S Main St Stillwater OK 74074-7933 Ph: (405) 612-5480 | Mary Melton Llc 1601 S Main St Stillwater OK 74074-7933 Ph: (405) 612-5480 |
| NPI Number | 1861706822 |
|---|---|
| Provider Enumeration Date | 08/02/2010 |
| Last Update Date | 08/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861706822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1832 (Oklahoma) | Primary |
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