Individual
MAUDE E MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, CRC
Contact information
Practice address
130 N GREENWOOD AVE, TULSA, OK 74120-1443
(918) 599-7277
Mailing address
3602 W 108TH CT, JENKS, OK 74037-1800
(484) 294-7267
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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