Individual
CASEY RAYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 E BROADWAY CT STE E, SAND SPRINGS, OK 74063-7931
(918) 245-5565
Mailing address
401 E BROADWAY CT STE E, SAND SPRINGS, OK 74063-7931
(918) 245-5565
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/09/2021
Last updated
06/09/2022
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