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Individual

MRS. SUSAN MORGART KENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, LADC

Contact information

Practice address
37353 E 221ST ST S, PORTER, OK 74454-5615
(918) 352-1685
Mailing address
34812 E 241ST ST S, PORTER, OK 74454-5881
(918) 352-1685

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
622
OK
1041C0700X
Clinical Social Worker
Primary
3789
OK

Other

Enumeration date
08/30/2006
Last updated
03/17/2015
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