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Individual

MICHAEL JAMES WYCZYNSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S.

Contact information

Practice address
120 S TREATY RD, MIAMI, OK 74354-5326
(918) 540-1511
Mailing address
120 S TREATY RD, MIAMI, OK 74354-5326
(918) 540-1511

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
05/23/2010
Last updated
08/16/2011
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