Individual
COLDELIA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
1202 SW A AVE, LAWTON, OK 73501-3821
(580) 357-8114
(580) 699-3567
Mailing address
1305 NE BRIARCLIFF CIR, LAWTON, OK 73507-2306
(580) 357-8114
(580) 699-3567
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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