Individual
KELLIE E MCMASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2520 NW 19TH ST, OKLAHOMA CITY, OK 73107-3939
(937) 336-6950
Mailing address
2520 NW 19TH ST, OKLAHOMA CITY, OK 73107-3939
(937) 336-6950
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW10927
FL
Other
Enumeration date
03/03/2011
Last updated
09/04/2015
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