person
Marion C Straub, BHRS
Mental Health Clinic/Center (Including Community Mental Health Center) in Tishomingo, Oklahoma
NPI 1265703573

Marion C Straub is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Kingston, OK and is specialized in Mental Health (Including Community Mental Health Center). Marion C Straub practices in Tishomingo, OK and has the professional credentials of BHRS. The NPI Number for Marion C Straub is 1265703573 and holds a License No. (Oklahoma).

The current practice location address for Marion C Straub is 512 E 24Th St, Tishomingo, OK and can be reached out via phone at 580-371-3672.

Location: 512 E 24Th St, Tishomingo, OK, 73439-8133
person
Provider Profile Details
NPI Number
1265703573
Provider Name
Marion C Straub
Credential
BHRS
Provider Entity Type
Individual
Gender
Male
Address
512 E 24Th St, Tishomingo, OK, 73439-8133
Phone Number
580-371-3672
Fax Number
Provider Enumeration Date
01/18/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200049040 05 OK
institution
Provider Business Practice Location Address Details
Address
512 E 24Th St
City
State
Zip
73460-3214
Phone Number
580-371-3672
Fax Number
person
Provider Business Mailing Address Details
Address
512 E 24Th St
City
State
Zip
73460-3214
Phone Number
580-371-3672
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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