Individual
MICAH E WILLEFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
3838 NW 36TH ST STE 200, OKLAHOMA CITY, OK 73112-2916
(405) 408-8202
(405) 702-9031
Mailing address
3838 NW 36TH ST STE 200, OKLAHOMA CITY, OK 73112-2916
(405) 408-8202
(405) 702-9031
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/28/2010
Last updated
03/25/2014
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