Individual
KELLI HOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N 5TH ST, HUGO, OK 74743-4005
(580) 326-9475
Mailing address
PO BOX 831, HUGO, OK 74743-0831
(580) 326-9475
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/29/2009
Last updated
11/21/2024
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