Individual
CHANDRA CADDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11421 STANSBURY PL, OKLAHOMA CITY, OK 73162-2154
(405) 201-1584
Mailing address
11421 STANSBURY PL, OKLAHOMA CITY, OK 73162-2154
(405) 201-1584
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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