Individual
MRS. ANDREA MICHELE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
512 E 24TH ST, TISHOMINGO, OK 73460-3214
(580) 235-0274
Mailing address
32790 STATE HIGHWAY 99 S, STONEWALL, OK 74871-6128
(580) 272-4277
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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