Individual
IKENNA EMEGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
112 EASY STREET CT, EDMOND, OK 73012-4527
(405) 919-1002
Mailing address
112 EASY STREET CT, EDMOND, OK 73012-4527
(405) 919-1002
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/17/2011
Last updated
02/17/2011
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