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Individual

KAYLA PLANK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
204 E CHOCTAW, SALLISAW, OK 74955
(918) 790-2292
Mailing address
473101 E 1127 RD, MULDROW, OK 74948

Taxonomy

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

Other

Enumeration date
10/08/2012
Last updated
10/08/2012
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