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Individual

KIMBERLY DAWN HENDRIX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
UNDERSUPERVISION

Contact information

Practice address
6301 E 41ST ST, TULSA, OK 74135-6103
(918) 289-0550
Mailing address
5017 S 225TH WEST AVE, SAND SPRINGS, OK 74063-4939
(918) 671-7333

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
OK

Other

Enumeration date
09/12/2011
Last updated
09/12/2011
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