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1285805614
PORTIA KAY WICKLIFFE-HERRON
CLAREMORE, OK
NPI
1285805614
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Former Name
PORTIA KAY KELLEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: OK 1233)
Enumeration Date
2008-03-13
Last Update Date
2023-07-06
Business Address
MS. PORTIA KAY WICKLIFFE-HERRON NCC, LPC, LBP
101 S MOORE AVE
CLAREMORE, OK 74017-5047
Phone number: 918-342-6460
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Mailing Address
MS. PORTIA KAY WICKLIFFE-HERRON NCC, LPC, LBP
101 S MOORE AVE
CLAREMORE, OK 74017-5047
Phone number: 918-342-6460
Copy
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