Individual
CAYCE LYNN WISNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1315 W 49TH ST, TULSA, OK 74107-8015
(657) 263-1384
Mailing address
1315 W 49TH ST, TULSA, OK 74107-8015
(657) 263-1384
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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