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Individual

KERRY BARGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
2101 N MEADOWBROOK DR, ENID, OK 73701-2568
(580) 478-2538
Mailing address
PO BOX 5232, ENID, OK 73702-5232
(580) 478-2538

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200292020A
OK
05
200292020B
OK
Enumeration date
09/27/2006
Last updated
12/27/2012
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