Individual
MISS KENDRA JULIE DENEE LEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B. S.
Contact information
Practice address
3100 S ELM PL, SUITE B, BROKEN ARROW, OK 74012-7950
(918) 476-2828
Mailing address
1400 VEYDA ST, PRYOR, OK 74361-8017
(918) 864-1322
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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