Individual
TAYLOR WYLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 NW 5TH ST STE D, MOORE, OK 73160-3947
(405) 208-4469
Mailing address
1005 VALLEY CT, EDMOND, OK 73012-6721
(228) 229-9029
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
21688-P
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/10/2021
Last updated
07/08/2025
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