Speshial Tynese Walters

NPI #1104337591 in Midwest City, Oklahoma

Provider Information

NPI Number: 1104337591
Entity Type: Individual
Name: Speshial Tynese Walters
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Oct 12, 2017
Last Updated: Oct 12, 2017

Practice Location

Address: 5710 E RENO AVE STE C
City: Midwest City
State: Oklahoma
ZIP Code: 73110-2005
Phone: (405) 455-7244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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