Organization
JENNIFER KAVANAUGH LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KAVANAUGH LCSW (LCSW)
(405) 613-0523
Entity
Organization
Contact information
Practice address
3035 NW 63RD ST, SUITE 200, OKLAHOMA CITY, OK 73116-3632
(405) 613-0523
Mailing address
3035 NW 63RD ST, SUITE 200, OKLAHOMA CITY, OK 73116-3632
(405) 613-0523
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
2299
OK
Other
Enumeration date
07/06/2015
Last updated
07/06/2015
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