Individual
TARA LOU GLADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14221 E 74TH ST, CUSHING, OK 74023-6723
(405) 614-5470
Mailing address
14221 E 74TH ST, CUSHING, OK 74023-6723
(405) 614-5470
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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