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1649739350
CAROLYN KELLY
TULSA, OK
NPI
1649739350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK 437)
Enumeration Date
2019-03-13
Last Update Date
2019-06-11
Business Address
CAROLYN KELLY
3445 S SHERIDAN RD
TULSA, OK 74145-1105
Phone number: 918-610-3366
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Mailing Address
CAROLYN KELLY
3445 S SHERIDAN RD
TULSA, OK 74145-1105
Phone number:
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