Individual
KATHRYN DEWOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
624 NW 5TH ST, MOORE, OK 73160-3924
(405) 799-3379
Mailing address
3201 ELISABETH ANNE TER, MOORE, OK 73160-7539
(972) 876-2658
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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