Rickey Lee Mauk II

NPI #1629801212 in Pryor, Oklahoma

Provider Information

NPI Number: 1629801212
Entity Type: Individual
Name: Rickey Lee Mauk II
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Aug 21, 2024
Last Updated: Aug 21, 2024

Practice Location

Address: 501 N TAYLOR ST TRLR 6
City: Pryor
State: Oklahoma
ZIP Code: 74361-2025
Phone: (918) 530-9280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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