MYRA J BLACK

CLAREMORE, OK
NPI1528288735
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OK  2992)
Enumeration Date2007-04-27
Last Update Date2007-07-08
Business Address
-- MYRA J BLACK LCSW
17599 SOUTH HIGHWAY 88
CLAREMORE, OK 74017
Phone number: 918-342-9530
Mailing Address
-- MYRA J BLACK LCSW
P.O. BOX 1346
CLAREMORE, OK 74018
Phone number: 918-342-9530
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