Individual
MICHELLE DEONA LOLLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
909 ALAMEDA ST, NORMAN, OK 73071-5229
(405) 360-5100
Mailing address
1900 NE 36TH ST STE 100G, OKLAHOMA CITY, OK 73111-5218
(405) 589-5261
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/16/2013
Last updated
01/25/2021
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