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Individual

MS. FELICIA ANN KELLETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
616 NW 21ST ST, OKLAHOMA CITY, OK 73103-1810
(405) 528-7724
(405) 843-4453
Mailing address
616 NW 21ST ST, OKLAHOMA CITY, OK 73103-1810
(405) 528-7724
(405) 843-4453

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3100
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3100
LCSW LICENSURE
OK
Enumeration date
12/20/2006
Last updated
07/08/2007
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