Individual
MRS. KENDRA DENISE WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
301 N 1ST ST BLDG 46, ALTUS AFB, OK 73523-5004
(580) 481-5419
Mailing address
100 CHARLES EWING BLVD STE 160, EWING, NJ 08628-3456
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6590
OK
Other
Enumeration date
03/26/2019
Last updated
11/10/2025
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