person
Mykelah Fraise
Mental Health Clinic/Center (Including Community Mental Health Center) in Tulsa, Oklahoma
NPI 1295517258

Mykelah Fraise is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Tulsa, OK and is specialized in Mental Health (Including Community Mental Health Center). Mykelah Fraise practices in Tulsa, OK. The NPI Number for Mykelah Fraise is 1295517258 and holds a License No. (Oklahoma).

The current practice location address for Mykelah Fraise is 1728 S Carson Ave, Tulsa, OK and can be reached out via phone at 918-406-3420.

Location: 1728 S Carson Ave, Tulsa, OK, 74119-4610
person
Provider Profile Details
NPI Number
1295517258
Provider Name
Mykelah Fraise
Credential
Provider Entity Type
Individual
Gender
Female
Address
1728 S Carson Ave, Tulsa, OK, 74119-4610
Phone Number
918-406-3420
Fax Number
Provider Enumeration Date
10/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1728 S Carson Ave
City
State
Zip
74119-4610
Phone Number
918-406-3420
Fax Number
person
Provider Business Mailing Address Details
Address
1728 S Carson Ave
City
State
Zip
74119-4610
Phone Number
918-406-3420
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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