Individual
ALICIA MARIE BOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2724 AMESBURY LAKE DR, EDMOND, OK 73013-6540
(405) 830-5939
Mailing address
2724 AMESBURY LAKE DR, EDMOND, OK 73013-6540
(405) 830-5939
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
10/19/2021
Last updated
10/19/2021
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