Individual
CHY WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1114 E FLORIDA AVE, WAURIKA, OK 73573-1414
(580) 313-0298
Mailing address
1114 E FLORIDA AVE, WAURIKA, OK 73573
(580) 313-0298
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
OK
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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