Individual
GLADWELL KISITU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14214 S TOLEDO AVE, BIXBY, OK 74008-3794
(314) 601-2537
Mailing address
14214 S TOLEDO AVE, BIXBY, OK 74008-3794
(314) 269-3296
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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