Individual
KAITLIN JEWEL ROUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 W 9TH ST, BEGGS, OK 74421-2193
(918) 267-4916
(918) 267-4916
Mailing address
3810 HARRELD RD, BEGGS, OK 74421-2478
(918) 857-5244
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/14/2017
Last updated
09/14/2017
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