Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker |
NPI | 1003192816 |
---|---|
Provider Name | Anne Marie Higby |
First Address | Norman, OK 73071-4171 |
Second Address | Moore, OK 73160-3924 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2011 |
Last Update Date | 17/07/2013 |