Individual
KATHIE D MCCABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 S BK 1240 RD, STIGLER, OK 74462-2189
(405) 831-6872
Mailing address
209 S BK 1240 RD, STIGLER, OK 74462-2189
(405) 613-0578
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
156223
OK
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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