Individual
KASSIE RAE SMELSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1105 LYNNWOOD ST, DURANT, OK 74701-2919
(580) 924-6263
Mailing address
1105 LYNNWOOD ST, DURANT, OK 74701-2919
(580) 924-6263
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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