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1144611336
KELLY DAVIS
TULSA, OK
NPI
1144611336
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: OK 0343)
Enumeration Date
2015-02-10
Last Update Date
2015-02-10
Business Address
Dr. KELLY DAVIS Ph.D.
9525 S 93RD EAST AVE
TULSA, OK 74133-6160
Phone number: 918-615-6970
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Mailing Address
Dr. KELLY DAVIS Ph.D.
9525 S 93RD EAST AVE
TULSA, OK 74133-6160
Phone number: 918-615-6970
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