Individual
AALIYAH GANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3124 E APACHE ST, TULSA, OK 74110-2320
(918) 932-1731
Mailing address
9274 FREEDOM RD UNIT 726, SAPULPA, OK 74066-2193
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/15/2023
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