Individual
QUISHA BOYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18528 RASTRO DR, EDMOND, OK 73012-9799
(495) 863-4898
Mailing address
18528 RASTRO DR, EDMOND, OK 73012-9799
(495) 863-4898
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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