Individual
AMANDA CONDREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20119 E FARRIS CEMETERY RD, ATOKA, OK 74525-6050
(580) 364-6960
Mailing address
1031 S GRIFFIN RD, ATOKA, OK 74525-8403
(580) 364-6960
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5127
OK
Other
Enumeration date
05/11/2015
Last updated
12/22/2024
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