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1912121765
LILLIE KENNER
ENID, OK
NPI
1912121765
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OK LPC 157)
Enumeration Date
2007-04-12
Last Update Date
2007-07-08
Business Address
-- LILLIE KENNER
702 N GRAND ST
ENID, OK 73701-3221
Phone number: 580-234-3791
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Mailing Address
-- LILLIE KENNER
1222 10TH ST STE 211
WOODWARD, OK 73801-3156
Phone number: 580-234-3791
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