Individual
KAYLA WILBOURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 E WILSON ST, SHAWNEE, OK 74804-4165
(405) 214-0116
Mailing address
33007 45TH ST, SHAWNEE, OK 74804-3429
(405) 214-0116
(877) 334-8552
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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