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Individual

CALLIE KEITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
2512 E 71ST ST STE H, TULSA, OK 74136-5575
(918) 691-4097
Mailing address
1605 S CEDAR AVE, BROKEN ARROW, OK 74012-5412

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/13/2019
Last updated
12/19/2023
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