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NPI 1235167057 · live from the CMS NPI Registry

Mary Pearson Anderson, MSW

Social Worker, Clinical in Oklahoma City, OK. National Provider Identifier 1235167057, active.

NPI record

NPI1235167057 Type 1 · individual
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location4045 Nw 64th St, Oklahoma City, OK 73116
Practice phone405-842-4911
Mailing address4045 Nw 64th St Ste 520, Oklahoma City, OK 73116
EnumeratedJune 29, 2006
Last updatedAugust 8, 2023
Sole proprietorNo
Other namesMicki Anderson

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X1389 (OK)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.