Individual
KELSEY ROTHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
823 W CALIFORNIA AVE, OKLAHOMA CITY, OK 73106-7806
(405) 312-7447
Mailing address
823 W CALIFORNIA AVE, OKLAHOMA CITY, OK 73106-7806
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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