Organization
YWCA
Active
Organization
YWCA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY SUE AMOS (VICTIM ADVOCATE)
(580) 234-7581
Entity
Organization
Contact information
Practice address
525 S QUNICY, ENID, OK 73702
(580) 747-4878
Mailing address
112 S. HOOVER, ENID, OK 73702
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
302F00000X
OK
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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