Malli Whisenant

NPI #1124803986 in Ada, Oklahoma

Provider Information

NPI Number
1124803986
Entity Type
Individual
Name
Malli Whisenant
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Aug 30, 2023
Last Updated
Aug 30, 2023

Practice Location

Address
314 S BROADWAY AVE STE 106
City
Ada
ZIP Code
74820-5818
Phone
(580) 235-0210

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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