Individual
LATIFFANY MONE' MCCASKILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11101 N BLACKWELDER AVE, OKLAHOMA CITY, OK 73120-7919
(405) 205-4932
Mailing address
11101 N BLACKWELDER AVE, OKLAHOMA CITY, OK 73120-7919
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200123000A
—
OK
Enumeration date
03/03/2010
Last updated
03/03/2010
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