Individual
GEORGIA KEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
512 E 24TH ST, TISHOMINGO, OK 73460-3214
(580) 371-3672
(580) 371-3651
Mailing address
512 E 24TH ST, TISHOMINGO, OK 73460-3214
(580) 371-3672
(580) 371-3651
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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