Individual
KARA WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1732 S KELLY AVE, EDMOND, OK 73013-3630
(405) 844-8085
Mailing address
PO BOX 7605, MOORE, OK 73153-1605
(918) 636-4815
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/04/2013
Last updated
05/22/2014
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