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Individual

BRADY WAYNE MICHALEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
B.S. PSYCHOLOGY

Contact information

Practice address
4721 E 80TH ST APT 10L, TULSA, OK 74136-8979
(479) 719-6252
Mailing address
4721 E 80TH ST APT 10L, TULSA, OK 74136-8979
(479) 719-6252

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
09/04/2018
Last updated
09/04/2018
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