Individual
SANDRA J GOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH,BHRS
Contact information
Practice address
325 S WASHITA ST, WETUMKA, OK 74883-5522
(405) 452-1300
(405) 452-3802
Mailing address
RR 1 BOX 1011, CLEARVIEW, OK 74880-9504
(405) 786-2635
(405) 786-2635
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100744410A
—
OK
Enumeration date
04/19/2007
Last updated
01/02/2014
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