Individual
ASHLEY L CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 SE 2ND ST, ANTLERS, OK 74523-4012
(580) 916-2568
Mailing address
816 W EVERGREEN ST, DURANT, OK 74701-4752
(580) 916-2568
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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