Individual
ANDREA HAMLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26243 HIGHWAY 51, WAGONER, OK 74467
(918) 614-0778
Mailing address
26243 HIGHWAY 51, WAGONER, OK 74467-8740
(918) 614-0778
(918) 999-0109
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/16/2018
Last updated
02/11/2019
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