Individual
KAITLYN MARIE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
19 MOCKINGBIRD XING, DURANT, OK 74701-1878
(580) 775-8905
Mailing address
19 MOCKINGBIRD XING, DURANT, OK 74701-1878
(580) 775-8905
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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