Marissa Jordyn Gough

NPI #1891389722 in Altus, Oklahoma

Provider Information

NPI Number
1891389722
Entity Type
Individual
Name
Marissa Jordyn Gough
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
Feb 22, 2021
Last Updated
Apr 16, 2025

Practice Location

Address
111 SEQUOYAH LN
City
Altus
ZIP Code
73521-1756
Phone
(580) 379-0203

Specialties & Taxonomy Codes

Specialty
Counselor

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