Most Relevant Information
Provider Data
NPI Number: | 1003554742 |
Provider Name: | ASHELEY LYNN MIDDLETON |
Entity Type: | Individual |
Taxonomy Code: | 101YP2500X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 05/23/2022 |
Last Updated: | 05/23/2022 |
Provider Practice Location
4436 NW 50TH ST
OKLAHOMA CITY
OK
731122212
Practice Location Phone/Fax
Phone: | 4058582700 |
Fax: |
Provider Mailing Location
PO BOX 12978
OKLAHOMA CITY
OK
731572978
Provider Mailing Phone/Fax
Phone: | |
Fax: |