Individual
AMY DAWN WILKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
447 S PITTSBURG AVE, TULSA, OK 74112-1233
(918) 630-5454
Mailing address
447 S PITTSBURG AVE, TULSA, OK 74112-1233
(918) 630-5454
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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