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Individual

BLAKE MONET REDDICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NCSP

Contact information

Practice address
402 SE 3RD ST, PERKINS, OK 74059-3404
(405) 408-5957
Mailing address
402 SE 3RD ST, PERKINS, OK 74059-3404
(405) 408-5957

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
38918
OK

Other

Enumeration date
06/30/2022
Last updated
06/30/2022
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