Individual
HEATHER MCCREADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
327 SW C AVE, LAWTON, OK 73501-4016
(580) 355-0072
Mailing address
327 SW C AVE, LAWTON, OK 73501-4016
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
130005
OK
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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