Individual
MISS KINSEY BROOKE LITTLEDEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
624 NW 5TH ST, MOORE, OK 73160-3924
(405) 799-3379
Mailing address
1400 FOREST GLENN CIR, NORMAN, OK 73071-5100
(405) 623-4037
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/13/2021
Last updated
08/25/2022
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