Individual
KERI M ELERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
318 W MAIN ST, STROUD, OK 74079-3612
(918) 968-4600
(918) 968-9350
Mailing address
318 W MAIN ST, STROUD, OK 74079-3612
(918) 968-4600
(918) 968-9350
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2790
OK
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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