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Organization

KATIE HAYEN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KATHRYN R HAYDEN LCSW, LADC (OWNER)
(405) 650-9769
Entity
Organization

Contact information

Practice address
3855 S. BOULVARD, STE. 100, EDMOND, OK 73013
(405) 340-4321
Mailing address
707 SE 26TH STREET, EDMOND, OK 73013
(405) 650-9769

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3473
OK
251S00000X
Community/Behavioral Health Agency
633
OK

Other

Enumeration date
08/31/2012
Last updated
08/31/2012
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