Gabrielle Bethany Sierra Alyss Hicks

NPI #1487462461 in Yukon, Oklahoma

Provider Information

NPI Number: 1487462461
Entity Type: Individual
Name: Gabrielle Bethany Sierra Alyss Hicks
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Dec 23, 2024
Last Updated: Dec 23, 2024

Practice Location

Address: 987 RAINTREE MANSION
City: Yukon
State: Oklahoma
ZIP Code: 73099-2113
Phone: (405) 702-2098

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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