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Individual

MATTHEW DENNIS WENSKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC-CANDIDATE

Contact information

Practice address
1640 W KEETOOWAH ST, TAHLEQUAH, OK 74464-3497
(918) 708-9009
(918) 708-1714
Mailing address
1640 W KEETOOWAH ST, TAHLEQUAH, OK 74464-3497
(918) 708-9009
(918) 708-1714

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCCANDIDATE11713
OK

Other

Enumeration date
09/08/2023
Last updated
09/08/2023
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