Individual
MRS. KANDICE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13224 SE 202ND RD, TALIHINA, OK 74571-5866
(918) 567-7000
Mailing address
13224 SE 202ND RD, TALIHINA, OK 74571-5866
(918) 567-7000
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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