Individual
MRS. KACI RANAE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
RR 1 BOX 191, FAIRVIEW, OK 73737-9676
(580) 227-7060
Mailing address
RR 1 BOX 191, FAIRVIEW, OK 73737-9676
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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