Individual
CARLY BETH SNEDEKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2625 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107-6437
(405) 421-5972
Mailing address
3305 PRAIRIE AVE, EDMOND, OK 73013-5485
(405) 627-0909
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/29/2017
Last updated
10/22/2021
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