MADYSON ROARK

Counselor

Active Individual
NPI: 1205268430

Practice Address

29501 KICKAPOO RD
Mcloud, OK 74851

Phone: (405) 964-3020

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -
Case Manager/Care Coordinator 171M00000X No -

Frequently Asked Questions

NPI 1205268430 is the National Provider Identifier for MADYSON ROARK, a Counselor provider located in Mcloud, OK. This NPI was enumerated on July 30, 2013.
MADYSON ROARK practices at 29501 KICKAPOO RD, Mcloud, OK 74851.

Quick Facts

NPI
1205268430
Type
Individual
Enumerated
Jul 30, 2013
Last Updated
Sep 18, 2014

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