KEVIN ERNEST MELLENCAMP

LAWTON, OK
NPI1033423389
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: OK  4005)
Enumeration Date2010-07-28
Last Update Date2010-07-28
Business Address
Mr. KEVIN ERNEST MELLENCAMP M.S. LPC
1320 NW HOMESTEAD DR STE G
LAWTON, OK 73505-5243
Phone number: 580-355-8883
Mailing Address
Mr. KEVIN ERNEST MELLENCAMP M.S. LPC
1320 NW HOMESTEAD DR STE G
LAWTON, OK 73505-5243
Phone number: 580-355-8883
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