Individual
BECKIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 MEADOW LANE, HOWE, OK 74940
(918) 658-2189
(918) 658-2180
Mailing address
30348 WILDHORSE RD, SHADY POINT, OK 74956-2211
(918) 635-5906
(918) 658-2180
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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