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Individual

MS. CINDY RAE GAINES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CADC, CM-A

Contact information

Practice address
15 E DEWEY AVE, SAPULPA, OK 74066-4201
(918) 227-2016
(918) 227-1125
Mailing address
12 CEDAR ROCK LN, HOMINY, OK 74035-6643
(918) 230-1746
(918) 227-1125

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
167
OK

Other

Enumeration date
04/25/2007
Last updated
07/08/2007
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