Individual
CHRISTINA CADDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 NW MISSION BLVD, L12, LAWTON, OK 73507-2226
(253) 228-4035
Mailing address
20 NW MISSION BLVD, L12, LAWTON, OK 73507-2226
(253) 228-4035
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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