Individual
IME CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6448 S WESTERN AVE STE 104, OKLAHOMA CITY, OK 73139-1711
(405) 318-6593
Mailing address
1500 NE 14TH ST, OKLAHOMA CITY, OK 73117-2618
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/15/2021
Last updated
05/15/2021
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