Roy Wyckoff

NPI #1487077970 in Yukon, Oklahoma

Provider Information

NPI Number: 1487077970
Entity Type: Individual
Name: Roy Wyckoff
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Feb 4, 2014
Last Updated: Feb 4, 2014

Practice Location

Address: 724 MABEL C FRY BLVD
City: Yukon
State: Oklahoma
ZIP Code: 73099-2810
Phone: (405) 473-2928

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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