Individual
ANGIE MICHELLE ASCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10503 MITZI DR, WAUKOMIS, OK 73773-9797
(580) 977-6245
Mailing address
10503 MITZI DR, WAUKOMIS, OK 73773-9797
(580) 977-6245
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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