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Individual

MICAH LEEANN PARADISE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6100 S WALKER AVE, OKLAHOMA CITY, OK 73139-7026
(405) 634-4400
Mailing address
2224 W PARK PL, OKLAHOMA CITY, OK 73107-5633
(405) 313-6830

Taxonomy

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

Other

Enumeration date
01/07/2022
Last updated
04/23/2024
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