Individual
ROY WYCKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
724 MABEL C FRY BLVD, YUKON, OK 73099-2810
(405) 473-2928
Mailing address
724 MABEL C FRY BLVD, YUKON, OK 73099-2810
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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