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Individual

KELLY ANN MOUNCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
222 E SHERIDAN AVE STE 2, OKLAHOMA CITY, OK 73104-4209
(866) 926-6552
Mailing address
916 RUBY LN, MIDWEST CITY, OK 73130-5732
(316) 200-6555

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6585
OK

Other

Enumeration date
09/25/2018
Last updated
09/25/2018
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