Alisha Bauchmoyer

NPI #1497112353 in Skiatook, Oklahoma

Provider Information

NPI Number: 1497112353
Entity Type: Individual
Name: Alisha Bauchmoyer
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Jan 24, 2016
Last Updated: Jan 24, 2016

Practice Location

Address: 1218 S RUSSELL ST
City: Skiatook
State: Oklahoma
ZIP Code: 74070-2128
Phone: (918) 327-0294

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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