Individual
KIMBERLY MICHELLE DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
16301 SONOMA PARK DR, EDMOND, OK 73013-2091
(360) 621-9962
(405) 562-1451
Mailing address
16301 SONOMA PARK DR, EDMOND, OK 73013-2091
(360) 621-9962
(405) 562-1451
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1138
OK
106H00000X
Marriage & Family Therapist
LF60123709
WA
Other
Enumeration date
11/29/2007
Last updated
01/05/2015
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