Individual
AMANDA JAYNE MOTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18210 GADDY RD, SHAWNEE, OK 74801-8741
(405) 432-7790
Mailing address
18210 GADDY RD, SHAWNEE, OK 74801-8741
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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