Individual
CASEY MACHADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10690 S 587 RD, MIAMI, OK 74354-5182
(918) 541-5732
Mailing address
10690 S 587 RD, MIAMI, OK 74354-5182
(918) 541-5732
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3780
OK
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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