Individual
KATHRYN NICOLE AZLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12530 NS 3660, WEWOKA, OK 74884-6021
(405) 683-0254
(405) 257-5473
Mailing address
1121 S OKFUSKEE AVE, WEWOKA, OK 74884-3553
(405) 683-0254
(405) 257-2149
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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