Individual
CASEY SNODGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 HYACINTH HOLLOW DR, YUKON, OK 73099-7592
(816) 694-4067
Mailing address
1000 HYACINTH HOLLOW DR, YUKON, OK 73099-7592
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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