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1780812909
KIMBERLY DAWN WHITE
EDMOND, OK
NPI
1780812909
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK 130)
Enumeration Date
2009-06-25
Last Update Date
2009-06-25
Business Address
Ms. KIMBERLY DAWN WHITE M.ED, ICADC
2628 MICHAEL DR
EDMOND, OK 73013-5227
Phone number: 405-285-1632
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Mailing Address
Ms. KIMBERLY DAWN WHITE M.ED, ICADC
2628 MICHAEL DR
EDMOND, OK 73013-5227
Phone number: 405-285-1632
Copy
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