Individual
AUDRA KAY BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHCM II
Contact information
Practice address
7824 NW 83RD ST, OKLAHOMA CITY, OK 73132-3305
(405) 830-5732
(405) 367-7635
Mailing address
7824 NW 83RD ST, OKLAHOMA CITY, OK 73132-3305
(405) 830-5732
(405) 726-8967
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200475600 A
—
OK
Enumeration date
01/18/2013
Last updated
02/17/2017
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