Individual
KASYA SPADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
RR 1 BOX 2279, HELENA, OK 73741-9764
(580) 348-0861
Mailing address
605 W OXFORD AVE, ENID, OK 73701-1208
(580) 348-0861
(580) 237-7550
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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