Individual
MISSY ANN BEETS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 N ETHEL, PICHER, OK 74360
(918) 673-1020
Mailing address
115 N ETHEL, PICHER, OK 74360
(918) 673-1020
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
OK
347C00000X
Private Vehicle
Primary
—
OK
Other
Enumeration date
07/02/2007
Last updated
09/11/2025
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