Individual
MS. JULIE A KENNEDY WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
1847 ROLLING HILLS ST, NORMAN, OK 73072-6707
(405) 928-2044
(405) 928-2049
Mailing address
1847 ROLLING HILLS STREET, NORMAN, OK 73072
(405) 928-2044
(405) 928-2049
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
550
OK
106H00000X
Marriage & Family Therapist
629
OK
Other
Enumeration date
10/23/2006
Last updated
01/26/2010
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