Individual
KELLIE PRATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2885 WOODLAWN DR, MOORE, OK 73160-3235
(405) 519-5944
Mailing address
2885 WOODLAWN DR, MOORE, OK 73160-3235
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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