Individual
MELODY N RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
6333 E SKELLY DR, TULSA, OK 74135-6106
(918) 664-4224
(918) 663-0203
Mailing address
6333 E SKELLY DR, TULSA, OK 74135-6106
(918) 664-4224
(918) 663-0203
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/15/2009
Last updated
04/15/2009
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