Individual
KINSEY NICOLE BETHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5116 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2077
(405) 943-7500
Mailing address
3800 NW 56TH ST, OKLAHOMA CITY, OK 73112-2002
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/16/2018
Last updated
01/16/2018
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