MARY OCTAVIA MAXWELL

DURANT, OK
NPI1407135361
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-08-10
Last Update Date2011-08-10
Business Address
Mrs. MARY OCTAVIA MAXWELL
1604 N WASHINGTON AVE
DURANT, OK 74701-2128
Phone number: 580-920-0909
Mailing Address
Mrs. MARY OCTAVIA MAXWELL
1604 N WASHINGTON AVE
DURANT, OK 74701-2128
Phone number: 580-920-0909