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Individual

CARA AURORA CANADY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
401 NE 46TH ST, OKLAHOMA CITY, OK 73105-3309
(405) 602-6331
Mailing address
10504 TIMBERCREST LN, AUSTIN, TX 78750-1643
(512) 567-9591

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YP2500X
Professional Counselor
Primary
84997
TX
247200000X
Other Technician

Other

Enumeration date
08/13/2012
Last updated
12/06/2023
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