Individual
ASHLEIGH LOUISE HALTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 E MAIN ST, HOLDENVILLE, OK 74848-3208
(405) 379-5256
(405) 379-5381
Mailing address
24176 DANCING STREAM SPUR RD, TECUMSEH, OK 74873-7381
(405) 517-4863
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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