Individual
MICHELE MEDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FSP
Contact information
Practice address
4334 NW EXPRESSWAY STE N297, OKLAHOMA CITY, OK 73116-1578
(405) 810-5554
(855) 313-3884
Mailing address
14817 SLIPPERY FALLS CIR, OKLAHOMA CITY, OK 73142-9712
(405) 887-6243
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
21704
OK
106S00000X
Behavior Technician
—
OK
175T00000X
Peer Specialist
—
—
Other
Enumeration date
11/05/2021
Last updated
05/23/2025
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