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Individual

MELISSA SLAPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW U/S

Contact information

Practice address
109 S HARRILL AVE, WAGONER, OK 74467-5317
(918) 260-6114
Mailing address
4126 E 36TH PL, TULSA, OK 74135-2322
(918) 313-3334

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
03/31/2017
Last updated
08/29/2019
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