Individual
DANELLE LASARAH WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1587 N BLISS AVE # 1, TAHLEQUAH, OK 74464-2199
(918) 822-7098
Mailing address
1587 N BLISS AVE # 1, TAHLEQUAH, OK 74464-2199
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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