Individual
KATHY MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
2508 N HARRISON ST, SHAWNEE, OK 74804-3131
(405) 275-2877
(405) 275-2499
Mailing address
PO BOX 42, DAISY, OK 74540-0042
(580) 346-7465
(580) 346-7465
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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