Individual
MRS. KELLY BENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1922 N EASTERN AVE, MOORE, OK 73160-5605
(405) 325-8945
(405) 735-5265
Mailing address
1624 CREEKSIDE LN, NORMAN, OK 73071-1306
(405) 326-8945
(405) 735-5265
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3204
OK
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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