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1508425547
CHANEL KOLTHOFF
FORT SILL, OK
NPI
1508425547
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA 61066659)
Enumeration Date
2019-06-12
Last Update Date
2021-03-29
Business Address
Mrs. CHANEL KOLTHOFF LICSW
4301 WILSON ST
FORT SILL, OK 73503-4472
Phone number: 833-286-3732
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Mailing Address
Mrs. CHANEL KOLTHOFF LICSW
4301 WILSON ST
LAWTON, OK 73503-4472
Phone number:
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