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Codie Holloway

NPI 1568155745 · on the registry since 2023

Practice

Address
1228 Pecan
Pawhuska, OK 74056
Phone
(918) 604-6054
Fax
(918) 777-9018
Organisation at this address
Grand Lake Mental Health Center Inc
Grand Lake Mental Health Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
171M00000X
171M00000X
Sex
Female
Record last updated
2023-06-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma