Individual
AMANDA K KAKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSRS
Contact information
Practice address
529 N GRAND ST, ENID, OK 73701-3216
(580) 234-8880
(580) 234-8891
Mailing address
529 N GRAND ST, ENID, OK 73701-3216
(580) 234-8880
(580) 234-8891
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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