Individual
KEREN ELISE DAMARISM.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.C.
Contact information
Practice address
14018 N WESTERN AVE, EDMOND, OK 73013-1977
(405) 302-2522
Mailing address
207 E KITTYHAWK DR, MIDWEST CITY, OK 73110-5313
(405) 595-7557
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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