Individual
CASSIDY ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 W BROADWAY ST, OKEMAH, OK 74859-2618
(918) 623-2922
Mailing address
122 N 9TH AVE, STROUD, OK 74079-3806
(405) 887-0384
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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