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Individual

ASHLEY LYNN DUVALL WYCKOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NBCC

Contact information

Practice address
1516 S BOSTON AVE STE 1, TULSA, OK 74119-4029
(918) 561-6000
Mailing address
804 S 71ST ST, BROKEN ARROW, OK 74014-2796
(918) 577-0664

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
08/09/2018
Last updated
08/09/2018
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