Charli Angelic Riddle

NPI #1447759626 in Pawhuska, Oklahoma

Provider Information

NPI Number: 1447759626
Entity Type: Individual
Name: Charli Angelic Riddle
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Feb 2, 2018
Last Updated: Feb 2, 2018

Practice Location

Address: 606 KIHEKAH AVE
City: Pawhuska
State: Oklahoma
ZIP Code: 74056-4225
Phone: (918) 287-5413

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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