Individual
MELINDA LEANN PAIGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10707 BROADWAY EXT, OKLAHOMA CITY, OK 73114-6212
(405) 696-7703
Mailing address
320 12TH AVE NE, NORMAN, OK 73071-5238
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
20536
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/17/2021
Last updated
08/06/2025
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