PHYLLIS ELISHA WALDRUP

CATOOSA, OK
NPI1942717624
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2018-01-04
Last Update Date2025-03-24
Business Address
PHYLLIS ELISHA WALDRUP
19320 E ADMIRAL PL STE B
CATOOSA, OK 74015-3240
Phone number: 550-391-8340
Mailing Address
PHYLLIS ELISHA WALDRUP
5409 E XYLER ST
TULSA, OK 74115-3323
Phone number:
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