Individual
MRS. MARILYN ELIZABETH KINCADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
RR 1, BOX 35D, BOLEY, OK 74829
(918) 667-3367
(918) 667-3387
Mailing address
131 E 17TH ST, WEWOKA, OK 74884-3906
(405) 257-6863
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC #924
OK
101Y00000X
Counselor
NCC #9091
OK
Other
Enumeration date
11/07/2006
Last updated
07/09/2007
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