Individual
MS. MONICA L. CHANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
639 N VANCOUVER AVE, TULSA, OK 74127-4933
(918) 583-4754
Mailing address
PO BOX 1137, TULSA, OK 74101-1137
(918) 583-4754
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200287120A
—
OK
Enumeration date
03/06/2013
Last updated
03/06/2013
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