Kelly Meredith

NPI #1427595669 in Idabel, Oklahoma

Provider Information

NPI Number: 1427595669
Entity Type: Individual
Name: Kelly Meredith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jan 26, 2017
Last Updated: Jan 26, 2017

Practice Location

Address: 411 S CENTRAL AVE
City: Idabel
State: Oklahoma
ZIP Code: 74745-6059
Phone: (580) 286-5045

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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