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Individual

MRS. KAMBER LEANN ROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
324 E CHESTNUT ST, COWETA, OK 74429-2532
(918) 279-6565
Mailing address
324 E CHESTNUT ST, COWETA, OK 74429-2532
(918) 279-6565

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YM0800X
Mental Health Counselor
Primary
10561
OK
171M00000X
Case Manager/Care Coordinator
OK

Other

Enumeration date
01/15/2018
Last updated
04/20/2026
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