Individual
KELVIN SANGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1417 W YOUNG ST, TULSA, OK 74127-2721
(918) 361-6135
Mailing address
1417 W YOUNG ST, TULSA, OK 74127-2721
(918) 361-6135
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/20/2013
Last updated
11/20/2013
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