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Individual

KAY A. HENDRICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
UNDER SUPERVISION

Contact information

Practice address
4436 NW 50TH ST, OKLAHOMA CITY, OK 73112-2212
(405) 858-2700
(405) 858-2810
Mailing address
4436 NW 50TH ST, OKLAHOMA CITY, OK 73112-2212
(405) 858-2700
(405) 858-2810

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
OK

Other

Enumeration date
11/01/2007
Last updated
11/01/2007
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