Wanda W Priddy, LCSW Valid NPI
Individual provider · Clinical Social Worker · Fairfax, OK
- NPI
- 1780853382
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 3383 (OK)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2008-02-27
- Last updated
- 2008-06-02
Practice location
301 N 2nd St
Fairfax, OK 74637-2012
(918) 642-3515