Individual
MICHELLE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1728 S CARSON AVE, TULSA, OK 74119-4610
(918) 984-8900
Mailing address
4801 S ELM PL APT 1937, BROKEN ARROW, OK 74011-4886
(918) 549-5786
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
10/31/2023
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