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Melissa Colegrove, BA

Case Manager/Care Coordinator in Tulsa, OK. Individual provider (NPI-1).

NPI number1609050376
StatusActive
Last updated in NPPESJan 10, 2008

Details

NPI
1609050376
Entity type
Individual (NPI-1)
Name
Melissa Colegrove
Credential
BA
Sex
Female
Sole proprietor
No
Enumeration date
Dec 18, 2007
Last updated
Jan 10, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

650 S Peoria
Tulsa, OK 74120-4429

Phone 918-587-9471

Mailing address

650 S Peoria
Tulsa, OK 74120-4429

Phone 918-587-9471

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