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NPI Code Detail

MEDICARE: MS. ANDREA N MALES LCSW

MEDICARE: MS. ANDREA N MALES LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker3296OK

General Provider Information

NPI Number : 1508196007
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANDREA N MALES LCSW
Provider Business Mailing Address
First Line : 2130 SW 59TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73119-7025
Country : US
Telephone Number : 403-303-7555
Fax Number : 405-561-5615
Provider Business Practice Location Address
First Line : 2130 SW 59TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73119-7025
Country : US
Telephone Number : 403-303-7555
Fax Number : 405-561-5615
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2010
Last Update Date : 11/13/2023

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Directions to “ MS. ANDREA N MALES LCSW” Practice Location

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