Individual
KRISTY R CAUDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11609 RUSHMORE, OKLAHOMA CITY, OK 73162-1634
(405) 603-3280
Mailing address
11609 RUSHMORE, OKLAHOMA CITY, OK 73162-1634
(405) 603-3280
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
OK
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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