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Mrs. Heather Marie Wake
Peer Specialist in Moore, Oklahoma
NPI 1700661295

Heather Marie Wake is a Peer Specialist based in Moore, OK. Heather Marie Wake practices in Moore, OK. The NPI Number for Heather Marie Wake is 1700661295 and holds a License No. (Oklahoma).

The current practice location address for Heather Marie Wake is 1705 Pinewood Dr, Moore, OK and can be reached out via phone at 405-204-2645.

Location: 1705 Pinewood Dr, Moore, OK, 73160-8333
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700661295
Provider Name
Heather Marie Wake
Credential
Provider Entity Type
Individual
Gender
Female
Address
1705 Pinewood Dr, Moore, OK, 73160-8333
Phone Number
405-204-2645
Fax Number
Provider Enumeration Date
08/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1705 Pinewood Dr
City
Moore
State
Oklahoma
Zip
73160-8333
Phone Number
405-204-2645
Fax Number
person
Provider Business Mailing Address Details
Address
1705 Pinewood Dr
City
Moore
State
Oklahoma
Zip
73160-8333
Phone Number
405-204-2645
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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