MRS. Heather Marie Wake

NPI #1700661295 in Moore, Oklahoma

Provider Information

NPI Number: 1700661295
Entity Type: Individual
Name: MRS. Heather Marie Wake
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Aug 31, 2023
Last Updated: Aug 31, 2023

Practice Location

Address: 1705 PINEWOOD DR
City: Moore
State: Oklahoma
ZIP Code: 73160-8333
Phone: (405) 204-2645

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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