MICCO LEWIS FREEMAN

TULSA, OK
NPI1518348473
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence:   NONE)
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2015-06-16
Last Update Date2020-01-23
Business Address
MR. MICCO LEWIS FREEMAN
3441 E ARCHER ST
TULSA, OK 74115-8217
Phone number: 918-833-8650
Mailing Address
MR. MICCO LEWIS FREEMAN
11740 E 21ST ST
TULSA, OK 74129-1820
Phone number: 918-841-5065
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