Individual
CACEY MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 E MAIN ST STE A, STIGLER, OK 74462-2804
(918) 967-3368
(918) 967-3351
Mailing address
1505 E MAIN ST STE A, STIGLER, OK 74462-2804
(918) 967-3368
(918) 967-3351
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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