MAVIS WYANEMA RISENHOOVER

STIGLER, OK
NPI1295807220
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OK  3198)
Enumeration Date2006-11-14
Last Update Date2007-07-08
Business Address
Ms. MAVIS WYANEMA RISENHOOVER LCSW
1407 NE D ST SUITE B
STIGLER, OK 74462-2815
Phone number: 918-967-8491
Mailing Address
Ms. MAVIS WYANEMA RISENHOOVER LCSW
1101 E MONROE AVE
MCALESTER, OK 74501-4815
Phone number: 918-426-7800