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1790980050
MELANIE WORTHAM
POTEAU, OK
NPI
1790980050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2007-06-18
Last Update Date
2007-07-08
Business Address
MELANIE WORTHAM
1907 N BROADWAY ST
POTEAU, OK 74953-2639
Phone number: 918-649-1492
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Mailing Address
MELANIE WORTHAM
PO BOX 127
POTEAU, OK 74953-0127
Phone number:
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