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Individual

MRS. KRASHELLE RENAE CUFFY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2035 W HOUSTON ST STE A, BROKEN ARROW, OK 74012-8792
(918) 324-4803
Mailing address
31609 E 64TH ST S, BROKEN ARROW, OK 74014-8583
(786) 520-1353

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YP2500X
Professional Counselor
Primary
10331
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200877070A
OK
Enumeration date
11/22/2019
Last updated
02/04/2026
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