Individual
KATY LYNN MOWDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11530 OK HIGHWAY 78 S, MILBURN, OK 73450-0045
(405) 892-9096
Mailing address
11530 OK HIGHWAY 78 S, MILBURN, OK 73450-0045
(405) 892-9096
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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