CARISSA NICOLE KELLEY

SEMINOLE, OK
NPI1790159382
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-11-19
Last Update Date2015-11-19
Business Address
Mrs. CARISSA NICOLE KELLEY
2215 W. WRANGLER BLVD. APT. 135
SEMINOLE, OK 74868
Phone number: 405-584-1350
Mailing Address
Mrs. CARISSA NICOLE KELLEY
2215 W WRANGLER BLVD APT 135
SEMINOLE, OK 74868-2098
Phone number: 405-584-1350
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