Individual
ELISE CAUDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6100 S WALKER AVE, OKLAHOMA CITY, OK 73139-7026
(405) 510-3944
Mailing address
6100 S WALKER AVE, OKLAHOMA CITY, OK 73139-7026
(405) 510-3944
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
10/02/2020
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