Individual
ALECIA RENEE ADDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9606 S MEMORIAL DR APT 2303, TULSA, OK 74133-6933
(904) 646-7383
Mailing address
9606 S MEMORIAL DR APT 2303, TULSA, OK 74133-6933
(904) 646-7383
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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