Individual
CANDEETA JOY OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1804 COMICE DR, NEWCASTLE, OK 73065-6267
(723) 631-6945
Mailing address
1804 COMICE DR, NEWCASTLE, OK 73065-6267
(572) 363-1694
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
05099
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200494290A
—
OK
05
—
200494290B
—
OK
Enumeration date
05/04/2012
Last updated
05/27/2025
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