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1023340643
KENNA MARIE WISE
CLINTON, OK
NPI
1023340643
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OK 3631)
Enumeration Date
2010-02-06
Last Update Date
2015-03-03
Business Address
Mrs. KENNA MARIE WISE LPC
2250 W MODELLE AVE A & B
CLINTON, OK 73601-3749
Phone number: 580-383-7609
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Mailing Address
Mrs. KENNA MARIE WISE LPC
110 E FRANKLIN AVE
WEATHERFORD, OK 73096-5156
Phone number: 580-373-7609
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