Individual
MELODY OUTLAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18001 HIGHLAND PARK RD, APT 407, EDMOND, OK 73012-5001
(405) 761-9644
Mailing address
18001 HIGHLAND PARK RD, APT 407, EDMOND, OK 73012-5001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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