Individual
CASONDRA LAURIE MILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1921 STONECIPHER BLVD., CHICKASAW NATION MEDICAL CENTER, ADA, OK 74820
(580) 436-3980
Mailing address
CHICKASAW NATION MEDICAL CENTER, 1921 STONECIPHER BLVD., ADA, OK 74820
(580) 436-3980
(580) 272-5757
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/27/2013
Last updated
04/17/2024
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