Individual
CATHY MALLOCH DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
820 W 15TH ST, EDMOND, OK 73013-3621
(405) 858-1730
Mailing address
820 W 15TH ST, EDMOND, OK 73013-3621
(405) 858-1730
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
05/01/2025
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