Individual
ROBERTA HAMM KANTOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3112 NW DENVER AVE, LAWTON, OK 73505-3864
(580) 695-5929
Mailing address
3112 NW DENVER AVE, LAWTON, OK 73505-3864
(580) 695-5929
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
3881
OK
1041C0700X
Clinical Social Worker
Primary
3881
OK
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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