Individual
MRS. JUDY KILBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 E 45TH ST, SHAWNEE, OK 74804
(405) 273-1170
(405) 275-5132
Mailing address
PO BOX 984, SHAWNEE, OK 74802-0984
(405) 275-7615
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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