Individual
KELLY B HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1140 N HUDSON AVE, OKLAHOMA CITY, OK 73103-3918
(405) 272-0660
(405) 272-1596
Mailing address
1140 N HUDSON AVE, OKLAHOMA CITY, OK 73103-3918
(405) 272-0660
(405) 272-1596
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4056
OK
Other
Enumeration date
08/12/2009
Last updated
01/14/2015
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