Melody Grace Evans
Melody Grace Evans is a Peer Specialist in Tahlequah, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
21275 Stick Ross Mountain RdTahlequah, OK 74464-7343
Phone: (918) 869-3128
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1568176212 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 9, 2023 |
| Last updated in NPPES | January 9, 2023 |
| Certification date | January 8, 2023 |
| Mailing address | 21275 Stick Ross Mountain Rd, Tahlequah, OK 74464-7343 |
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