Individual
KAILEE DANIELLE MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 NW 16TH ST, NEWCASTLE, OK 73065-6248
(405) 387-3838
(405) 387-3822
Mailing address
103 NE 7TH ST, MOORE, OK 73160-4807
(405) 274-4029
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPCCANDIDATE12470
OK
Other
Enumeration date
06/07/2019
Last updated
10/22/2025
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