Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker |
NPI | 1003434671 |
---|---|
Provider Name | Aubreigh Astani |
First Address | Norman, OK 73072-8347 |
Second Address | Norman, OK 73071-5305 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2020 |
Last Update Date | 05/01/2022 |