Individual
ASHLEY NICOLE DECOLLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1307 SW WASHINGTON AVE, LAWTON, OK 73501-7231
(580) 355-7500
Mailing address
2047 W SPRUCE AVE, DUNCAN, OK 73533-2107
(580) 736-3087
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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