Individual
MYLISSA GENEVRA MCWHORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 S PENN AVE, BARTLESVILLE, OK 74003-3847
(918) 273-1841
Mailing address
700 S PENN AVE, BARTLESVILLE, OK 74003-3847
(918) 273-1841
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/18/2021
Last updated
09/23/2021
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