Individual
MISS KELLY ELAINE EARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.; CM; LADC-US
Contact information
Practice address
1200 NE 13TH ST, OKLAHOMA CITY, OK 73117-1022
(405) 522-0103
Mailing address
1200 NE 13TH ST, OKLAHOMA CITY, OK 73117-1022
(405) 522-0103
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/10/2006
Last updated
03/06/2012
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