Individual
AMANDA LEE MATHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2325 S HARVARD AVE, TULSA, OK 74114-3300
(918) 712-4301
(918) 560-1399
Mailing address
604 COLONY DR, SAND SPRINGS, OK 74063-7428
(918) 574-4881
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/02/2021
Last updated
08/07/2021
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