Individual
WENDY KEARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA SOCIOLOGY
Contact information
Practice address
6816 DECON AVE APT 202, OKLAHOMA CITY, OK 73132-6100
(919) 559-5741
Mailing address
5929 N MAY AVE STE 218, OKLAHOMA CITY, OK 73112-3925
(405) 642-4871
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
200427950A
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200427950A
—
OK
Enumeration date
06/11/2012
Last updated
06/11/2012
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