Ida S Kemunto Magati

NPI #1558887356 in Moore, Oklahoma

Provider Information

NPI Number
1558887356
Entity Type
Individual
Name
Ida S Kemunto Magati
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Aug 15, 2017
Last Updated
Aug 15, 2017

Practice Location

Address
626 N BROADWAY ST
City
Moore
ZIP Code
73160-4814
Phone
(405) 588-7149

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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