Individual
DENESA KLOCKENKEMPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23 E ROSS AVE, SAPULPA, OK 74066-6423
(918) 227-2016
Mailing address
23478 COUNTRY CLUB DR, BRISTOW, OK 74010-8706
(918) 804-6069
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7734
OK
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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