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Contact Information

SALLY IRVIN
202639 E COUNTY ROAD 42
WOODWARD, OK73801-5442
 Phone: 580-254-5322
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
 

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for SALLY IRVIN · (Female)

NPI # 1225492440
Status Active
Credentials
Entity Individual
Enumeration date 04/13/2016
Last updated 04/13/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 2871648
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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