Individual
KASSIDEE G MCGINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW U/S
Contact information
Practice address
325 S ASH ST, NOWATA, OK 74048-4628
(918) 273-7344
Mailing address
325 S ASH ST, NOWATA, OK 74048-4628
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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