Individual
ASHLEY MARIE DEFOREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1309 JAMESTOWN, EDMOND, OK 73003-6138
(405) 315-7417
Mailing address
6100 S WALKER AVE, OKLAHOMA CITY, OK 73139-7026
(405) 634-4400
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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