Individual
HAILIE IRENE ROSE CALLAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1114 SW A AVE, LAWTON, OK 73501-3819
(580) 357-8114
Mailing address
1114 SW A AVE, LAWTON, OK 73501-3819
(580) 357-8114
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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