Individual
ALYSSA HAWK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7565 E US HIGHWAY 66, EL RENO, OK 73036-9120
(405) 262-6555
Mailing address
9901 SUNDANCE RIDGE RD, YUKON, OK 73099-9264
(724) 984-0639
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
07/27/2022
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