Search › Oklahoma › 101YM0800X
Mary Chance, LADC, LCSW
NPI 1124338298 · on the registry since 2010
Practice
- Address
- 2485 N Main St
Jay, OK 74346 - Phone
- (918) 253-2550
- Fax
- (918) 253-2122
- Organisation at this address
- Richard H Tidwell Md Pllc
Community Health Center Of Northeast Oklahoma, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YA0400X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-06-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma