Individual
MRS. ALICE L. CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBP
Contact information
Practice address
301 E MAIN ST, SUITE 3, WILBURTON, OK 74578-4415
(918) 465-0300
(918) 465-0300
Mailing address
294 SW 1060TH AVE, WILBURTON, OK 74578-6746
(918) 916-9213
(918) 465-0300
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0227
OK
Other
Enumeration date
03/25/2009
Last updated
07/24/2013
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