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Individual

MS. MARGARET ELAINE KUTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPD/LADC

Contact information

Practice address
556 N 10TH ST, ENID, OK 73701-3473
(580) 484-4059
Mailing address
556 N 10TH ST, ENID, OK 73701-3473
(580) 484-4059

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
2408
OK
101YA0400X
Addiction (Substance Use Disorder) Counselor
324
OK
101YM0800X
Mental Health Counselor
2408
OK
101YP2500X
Professional Counselor
Primary
2408
OK
101YS0200X
School Counselor
2408
OK

Other

Enumeration date
09/25/2009
Last updated
09/25/2009
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