Individual
MS. AUDRY ELLEN HALDAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1406 18TH ST, WOODWARD, OK 73801-4204
(580) 256-7616
Mailing address
1406 18TH ST, WOODWARD, OK 73801-4204
(580) 256-7616
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
101
OK
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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