Individual
CLARISSA ASHLYNN KOASSECHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1403 DORCHESTER DR, NORMAN, OK 73069-7519
(405) 201-7079
Mailing address
1403 DORCHESTER DR, NORMAN, OK 73069-7519
(405) 201-7079
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
06/25/2023
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