Individual
CASSIE D PLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 N MAIN ST, SAND SPRINGS, OK 74063-7602
(918) 245-5565
Mailing address
934 S 204TH WEST AVE, SAND SPRINGS, OK 74063-8038
(918) 261-9552
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/10/2010
Last updated
02/10/2010
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