Individual
CHANTAL Z WANDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHR
Contact information
Practice address
5915 NE 63RD, OKLAHOMA CITY, OK 73141
(405) 473-2189
Mailing address
5915 NE 63RD, OKLAHOMA CITY, OK 73141
(405) 473-2189
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
Other
Enumeration date
02/28/2011
Last updated
02/28/2011
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