Individual
KERRI WENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
910 JIMAR WAY, WOODWARD, OK 73801-1510
(054) 388-9528
Mailing address
910 JIMAR WAY, WOODWARD, OK 73801-1510
(054) 388-9528
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5597
OK
Other
Enumeration date
04/07/2016
Last updated
04/19/2024
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