Organization
ELITE KIDS USA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERONICA GLOVER (EXECUTIVE DIRECTOR)
(405) 209-8075
Entity
Organization
Contact information
Practice address
4611 BAKER ST, SPENCER, OK 73084-2525
(405) 771-8822
Mailing address
PO BOX 364, SPENCER, OK 73084-0364
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
03/23/2011
Last updated
03/23/2011
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