Individual
KAYLEIGH FABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 E 6TH AVE, STILLWATER, OK 74074-3732
(405) 372-1250
Mailing address
800 E 6TH AVE, STILLWATER, OK 74074-3732
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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