Madyson Elise Roark

NPI #1205268430 in Mcloud, Oklahoma

Provider Information

NPI Number: 1205268430
Entity Type: Individual
Name: Madyson Elise Roark
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Jul 30, 2013
Last Updated: Sep 18, 2014

Practice Location

Address: 29501 KICKAPOO RD
City: Mcloud
State: Oklahoma
ZIP Code: 74851-8320
Phone: (405) 964-3020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Case Manager/Care Coordinator	171M00000X

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