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Individual

DANIELLE OPHELLIA KEMP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BS, BHRS

Contact information

Practice address
207 N BURRIS ST, TISHOMINGO, OK 73460-2319
(580) 371-5901
Mailing address
605 E 8TH ST, TISHOMINGO, OK 73460-1819
(580) 257-0050

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
06/18/2013
Last updated
06/29/2021
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