Individual
KAYLA JOY HARTFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
216 W A ST, WATONGA, OK 73772-4208
(580) 890-0188
Mailing address
524 N 8TH ST, WEATHERFORD, OK 73096-4816
(580) 890-0188
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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