Teresa Dianne Gant, CASE MANAGER Valid NPI
Individual provider · Case Manager/Care Coordinator · Frederick, OK
- NPI
- 1649500372
- Type
- Individual (Type 1)
- Primary specialty
- Case Manager/Care Coordinator
- Specialty group
- Other Service Providers
- Taxonomy code
- 171M00000X
- License number
- 20174 (OK)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2009-12-31
- Last updated
- 2009-12-31
Practice location
22007 County Road Ew 185
Frederick, OK 73542-9118
(580) 335-5411