Individual
KENDRA LYNN DAFFERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
124 E SHERIDAN AVE, KINGFISHER, OK 73750-3217
(405) 375-3735
Mailing address
610 W HAYES ST, EL RENO, OK 73036-2620
(405) 760-5246
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/09/2016
Last updated
01/09/2016
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