Individual
JENNIFER KAVANAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3033 NW 63RD ST, STE 200, OKLAHOMA CITY, OK 73116-3634
(405) 613-0523
(405) 286-1386
Mailing address
3033 NW 63RD ST, STE 200, OKLAHOMA CITY, OK 73116-3634
(405) 613-0523
(405) 286-1386
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2299
OK
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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