Individual
MRS. KIMBERLY KAY HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
301 W I 240 SERVICE RD, OKLAHOMA CITY, OK 73139-7701
(405) 604-9644
(405) 604-9689
Mailing address
2016 HALLBROOKE DR, NORMAN, OK 73071-3922
(405) 364-0499
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
551
OK
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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