Individual
KELLY S BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
722 E INDEPENDENCE ST STE I, SHAWNEE, OK 74804-4037
(405) 810-0054
(405) 810-8977
Mailing address
6051 N BROOKLINE AVE STE 112, OKLAHOMA CITY, OK 73112-4286
(405) 810-0054
(405) 810-8977
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/22/2019
Last updated
03/26/2019
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