Individual
MAKAYLA DANAE MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3501 E GORE BLVD APT 311, LAWTON, OK 73501-6816
(918) 777-0635
Mailing address
3501 E GORE BLVD APT 311, LAWTON, OK 73501-6816
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
46446646
TX
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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