Individual
MRS. MICHELLE GRACE BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15481 N JARVIS RD, TAHLEQUAH, OK 74464-0233
(918) 456-5131
Mailing address
8992 N 490 RD, TAHLEQUAH, OK 74464-0410
(918) 457-0044
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/18/2012
Last updated
05/18/2012
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