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KIMBERLY MARIE MOTLEY BACHELOR OF FINE ART

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1548512825

Individual Registrant:
 KIMBERLY MARIE MOTLEY BACHELOR OF FINE ART
Gender: F
Sole Proprietor

Location and contact information for practice:
10245 HECTORVILLE RD  MOUNDS, OK 74047-4249 US
Tel: 918-994-1249  Fax: --

Contact information for business:
10245 HECTORVILLE RD  MOUNDS, OK 74047-4249 US
Tel: 918-994-1249  Fax: --

Registration Information:
NPI: 1548512825
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101Y00000XBehavioral Health & Social Service Providers
Counselor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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