Individual
WYNEMA HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8117 E 19TH ST APT 12-205, TULSA, OK 74112-8355
(918) 269-5602
Mailing address
8117 E 19TH ST APT 12-205, TULSA, OK 74112-8355
(918) 269-5602
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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