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OKLAHOMA CITY, OK
NPI1891812715
Entity TypeOrganization
Authorized ContactKIMBERLY SHANIQUE SHOALS
Executive Clinical Director
405-272-1610
Organization Subpart ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OK  2664)
Enumeration Date2007-03-24
Last Update Date2020-08-22
Business Address
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3613 N LOTTIE AVE
OKLAHOMA CITY, OK 73111-4517
Phone number: 405-272-1610
Mailing Address
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3613 N LOTTIE AVE
OKLAHOMA CITY, OK 73111-4517
Phone number: 405-272-1610