Individual
KENYAN LARITA COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMI
Contact information
Practice address
1500 NE 45TH ST, OKLAHOMA CITY, OK 73111-6002
(405) 503-1624
Mailing address
1500 NE 45TH ST, OKLAHOMA CITY, OK 73111-6002
(405) 503-1624
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
OK
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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