Individual
KALEY SUE VANDIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1019 WATERWOOD PKWY STE B, EDMOND, OK 73034-5329
(405) 648-8978
Mailing address
1019 WATERWOOD PKWY STE B, EDMOND, OK 73034-5329
(405) 648-8978
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11181
OK
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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