Individual
MRS. ERIKA LAUREN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
10101 S PENNSYLVANIA AVE STE J, OKLAHOMA CITY, OK 73159-6929
(405) 573-9905
Mailing address
4605 TAMARACK CIR, ENID, OK 73703-3434
(580) 234-5057
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3313-P
OK
Other
Enumeration date
10/01/2006
Last updated
07/08/2007
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