Individual
KIMBERLY L DUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2442 MOHAWK BLVD, TULSA, OK 74110
(918) 430-0975
(918) 430-0995
Mailing address
PO BOX 580700, TULSA, OK 74158
(918) 430-0975
(918) 430-0995
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6024
OK
Other
Enumeration date
11/05/2013
Last updated
04/16/2019
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