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General NPI Number Information
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NPI Number | 1548452196
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Entity Type | Organization
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Legal Business Name | KAREN MAYES MSW LCSW INC
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Dates
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Enumeration Date | 08/16/2007
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Last Update Date | 08/22/2014
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Provider Practice Location Address
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Address Line | 3750 W MAIN ST STE AA
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City | NORMAN
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State | OK
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Zip | 73072-4657
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Country | US
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Telephone | 405-329-5252
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Fax | 405-321-8581
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Provider Business Mailing Address
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Address Line | 3750 W MAIN ST STE AA
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City | NORMAN
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State | OK
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Zip | 73072-4657
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Country | US
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Telephone | 405-329-5252
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Fax | 405-321-8581
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Authorized Official
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Title or Position | PRESIDENT
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Name | KAREN R MAYES
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Credential | LCSW
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Telephone | 405-329-5252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1559
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License Number State | OK
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