Individual
CASEY FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 FREDONIA, MUSKOGEE, OK 74403
(918) 683-0124
Mailing address
501 FREDONIA, MUSKOGEE, OK 74403
(918) 683-0124
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0004932404
—
Other
Enumeration date
08/15/2007
Last updated
08/16/2007
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