Individual
MRS. KATIE ELIZABETH TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
2231 IRON MOUND RD, GUTHRIE, OK 73044-5778
(405) 282-6300
Mailing address
3001 KATHY LN, EDMOND, OK 73034-8245
(405) 248-3240
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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