Provider Demographics
NPI:1902140353
Name:BATTLE, MARI L
Entity Type:Individual
Prefix:
First Name:MARI
Middle Name:L
Last Name:BATTLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 25
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:OK
Mailing Address - Zip Code:74834-0025
Mailing Address - Country:US
Mailing Address - Phone:405-641-3437
Mailing Address - Fax:405-241-5215
Practice Address - Street 1:215 E 4TH ST
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:OK
Practice Address - Zip Code:74834-2225
Practice Address - Country:US
Practice Address - Phone:405-641-3437
Practice Address - Fax:405-241-5215
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-23
Last Update Date:2012-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker