Individual
KASEY HAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4636 S HARVARD AVE, TULSA, OK 74135-2908
(918) 592-1622
Mailing address
141 N ROSS PL APT 150B, DEWEY, OK 74029-2152
(918) 841-0571
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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