Individual
KELLI DAWN COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4636 S HARVARD AVE, TULSA, OK 74135-2908
(918) 740-2148
Mailing address
4636 S HARVARD AVE, TULSA, OK 74135-2908
(918) 740-2148
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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