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Michelle Renae Marr

Peer Specialist in Woodward, OK. Individual provider (NPI-1).

NPI number1063166338
StatusActive
Last updated in NPPESFeb 7, 2022

Details

NPI
1063166338
Entity type
Individual (NPI-1)
Name
Michelle Renae Marr
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 7, 2022
Certification date
Feb 7, 2022
Last updated
Feb 7, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

1222 10th St Ste 211
Woodward, OK 73801-3156

Phone 580-256-8615

Mailing address

1222 10th St Ste 211
Woodward, OK 73801-3156

Phone 580-256-8615

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