Individual
CALLIE JORDAN CRASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 E 6TH ST, PAWHUSKA, OK 74056-4204
(918) 604-6054
Mailing address
124 E 6TH ST, PAWHUSKA, OK 74056-4204
(918) 604-6054
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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