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NPI Code Detail

MEDICARE: MS. MARY MARGARET MCMILLER MSW, LCSW

MEDICARE: MS. MARY MARGARET MCMILLER MSW, 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 Worker6765OK

General Provider Information

NPI Number : 1194108746
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARY MARGARET MCMILLER MSW, LCSW
Provider Business Mailing Address
First Line : 1100 NW 14TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73106-4450
Country : US
Telephone Number : 405-528-7721
Fax Number : 405-338-4743
Provider Business Practice Location Address
First Line : 1100 NW 14TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73106-4450
Country : US
Telephone Number : 405-528-7721
Fax Number : 405-338-4743
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2015
Last Update Date : 02/12/2026

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