Individual
MS. ANDREA UPSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2604 NW 164TH TER, EDMOND, OK 73013-1244
(405) 532-6690
Mailing address
2604 NW 164TH TER, EDMOND, OK 73013-1244
(405) 532-6690
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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