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Individual

JANICE KEMP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8717 NE 47TH, SPENCER, OK 73084
(405) 821-4882
Mailing address
8717 NE 47TH ST, SPENCER, OK 73084-2011
(405) 821-4882

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
171M00000X
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
171M00000X
CASE MANAGEMENT
OK
Enumeration date
09/25/2013
Last updated
09/25/2013
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