Individual
MICHAEL PICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1003 STONE CREEK DR, ARDMORE, OK 73401-1462
(469) 236-4694
Mailing address
1003 STONE CREEK DR, ARDMORE, OK 73401-1462
(469) 236-4694
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Enumeration date
11/16/2014
Last updated
11/16/2014
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