Individual
MARY KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3080 W 3RD ST, ELK CITY, OK 73644
(580) 225-5136
Mailing address
PO BOX 1106, ELK CITY, OK 73648-1106
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/13/2018
Last updated
08/20/2018
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