Individual
ASHLEY MICHELLE MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6111 E SKELLY DR, TULSA, OK 74135-6100
(918) 510-4054
Mailing address
17 S 194TH EAST AVE, TULSA, OK 74108-7731
(918) 845-4198
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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