Most Relevant Information
Provider Data
| NPI Number: | 1003245382 |
| Provider Name: | SYDNEY CAITLIN MANNING |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/06/2013 |
| Last Updated: | 11/06/2013 |
Provider Practice Location
329 W 1ST ST
ADA
OK
74820
Practice Location Phone/Fax
| Phone: | 5803205902 |
| Fax: |
Provider Mailing Location
329 W 1ST ST
ADA
OK
748202025
Provider Mailing Phone/Fax
| Phone: | 5803205902 |
| Fax: |