Individual
MRS. CATHY LOUISE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 E LAFAYETTE AVE, COALGATE, OK 74538-2676
(580) 258-1967
Mailing address
6 E LAFAYETTE AVE, COALGATE, OK 74538-2676
(580) 258-1967
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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