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Kamilah Scroggins
Mental Health Counselor in Wagoner, Oklahoma
NPI 1043778061

Kamilah Scroggins is a Mental Health Counselor based in Wagoner, OK and is specialized in Mental Health. Kamilah Scroggins practices in Wagoner, OK. The NPI Number for Kamilah Scroggins is 1043778061 and holds a License No. (Oklahoma).

The current practice location address for Kamilah Scroggins is 68512 S 310 Rd, Wagoner, OK and can be reached out via phone at 661-972-8815.

Location: 68512 S 310 Rd, Wagoner, OK, 74467-6276
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043778061
Provider Name
Kamilah Scroggins
Credential
Provider Entity Type
Individual
Gender
Female
Address
68512 S 310 Rd, Wagoner, OK, 74467-6276
Phone Number
661-972-8815
Fax Number
Provider Enumeration Date
03/08/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
KF14188815 05 OK
institution
Provider Business Practice Location Address Details
Address
68512 S 310 Rd
City
Wagoner
State
Oklahoma
Zip
74467-6276
Phone Number
661-972-8815
Fax Number
person
Provider Business Mailing Address Details
Address
68512 S 310 Rd
City
Wagoner
State
Oklahoma
Zip
74467-6276
Phone Number
661-972-8815
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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