Individual ProviderSandra Lee WickliffeSocial WorkerBehavioral Health & Social Service ProvidersPractice Address4300 S Harvard Ave., Suite 100, Tulsa, OK 74135(918) 584-7500PECOS EnrollmentBased on the most recent information from CMS, provider Sandra Lee Wickliffe does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:02 PM.Profile DetailsProvider ID1780902114Provider TypeIndividualFull NameWickliffe, Sandra LeeTitleMs.GenderFemaleSole ProprietorYesEnumeration Date5/10/2010Last Updated5/10/2010Contact InformationPractice LocationPractice Address4300 S Harvard Ave., Suite 100, Tulsa, OK 74135Phone(918) 584-7500Fax(918) 585-2676Mailing LocationMailing Address4300 S Harvard Ave, Tulsa, OK 74135-2619Phone(918) 584-7500Fax(918) 585-2876Provider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerOklahoma