Individual
KIMBERLY A MASENGALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
3035 NW 63RD ST, SUITE 202, OKLAHOMA CITY, OK 73116-3632
(405) 842-0684
Mailing address
3035 NW 63RD ST, SUITE 202, OKLAHOMA CITY, OK 73116-3632
(405) 842-0684
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/29/2010
Last updated
01/11/2012
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