Individual
MRS. KELI JO SPEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10975 SW HWY 1, WILBURTON, OK 74578
(918) 429-2819
Mailing address
PO BOX 54, HARTSHORNE, OK 74547-0054
(918) 429-2819
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/01/2019
Last updated
05/25/2020
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