Individual
MS. CHERYL ANN KOTTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4301 MOW-WAY ROAD, REYNOLDS ARMY COMMUNITY HOSPITAL(ATTN: MCUA-QC, ), FORT SILL, OK 73503-6300
(580) 458-2134
(580) 458-2314
Mailing address
2737 N.E. EUCLID STREET, UNIT B, LAWTON, OK 73501
(580) 591-0593
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2085
OK
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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