Individual
KELLI P ROLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1808 NE 11TH ST, OKLAHOMA CITY, OK 73117-3606
(214) 690-3167
Mailing address
1808 NE 11TH ST, OKLAHOMA CITY, OK 73117-3606
(214) 690-3167
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/21/2019
Last updated
09/21/2019
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