Individual
KEILAH M POOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW, CM II
Contact information
Practice address
314 S BROADWAY AVE STE 14, ADA, OK 74820-5828
(580) 235-0210
Mailing address
314 S BROADWAY AVE STE 14, ADA, OK 74820-5828
(580) 235-0210
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
03/07/2025
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