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1083124739
LORI KIM CHILDS
WAGONER, OK
NPI
1083124739
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OK 6099-P)
Enumeration Date
2017-10-09
Last Update Date
2017-10-09
Business Address
LORI KIM CHILDS LMSW-P
109 S HARRILL AVE
WAGONER, OK 74467-5317
Phone number: 918-485-0242
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Mailing Address
LORI KIM CHILDS LMSW-P
2214 S INDIANWOOD AVE
BROKEN ARROW, OK 74012-0935
Phone number: 918-348-6776
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